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PRINTED: 03/13/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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Obtain the necessary forms from the NC DHHS North Carolina website.

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Anyone residing in North Carolina who is seeking assistance or benefits from the NC Department of Health and Human Services (DHHS) may need to fill out the NC DHHS North Carolina form. This could include individuals applying for Medicaid, Food and Nutrition Services (FNS), or other programs offered by DHHS.

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What is nc dhhs north carolina?

nc dhhs North Carolina stands for North Carolina Department of Health and Human Services, responsible for public health and welfare programs in the state.

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Entities and individuals who are eligible for or receiving benefits or services from NC DHHS programs may be required to file.

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You can fill out NC DHHS forms online or by mail, following the instructions provided by the department.

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The purpose of NC DHHS is to improve the health, safety, and well-being of all North Carolinians through effective health and human services.

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Information such as income, household composition, medical history, and other relevant details may need to be reported on NC DHHS forms.

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