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NCD HHS Transitions to Community Living Initiative (CLI) Fidelity Supported Employment (IP SSE) Participant ACH In/At Risk Checklist Instructions: Use this form to determine and document basis of
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Step 1: Gather all necessary information such as personal details, current medical condition, and any other relevant information.
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Step 2: Download the NC DHHS Transitions form from the official website or obtain a physical copy from a healthcare provider.
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Step 3: Fill out the form accurately and completely. Provide all required information and ensure it is legible.
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Step 4: Review the completed form for any errors or omissions. Make any necessary corrections.
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Step 5: Submit the filled-out form to the appropriate NC DHHS office or healthcare provider as instructed.
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Step 6: Follow up with the NC DHHS office or healthcare provider to ensure the form has been received and processed.
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Step 7: If further information or documentation is requested, provide it promptly to avoid delays in processing.

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NC DHHS transitions to the North Carolina Department of Health and Human Services.
Healthcare providers and facilities are required to file NC DHHS transitions to.
NC DHHS transitions can be filled out online or by mail following the instructions provided by the department.
The purpose of NC DHHS transitions is to report healthcare data to the state government for analysis and planning purposes.
Information such as patient demographics, diagnoses, treatments, and outcomes must be reported on NC DHHS transitions.
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