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NC Medicaid OutofState Services (OOS)Medicaid and Health Choice Clinical Coverage Policy No: 2A3 Amended Date: January 15, 2023To all beneficiaries enrolled in a Prepaid Health Plan (PHP): for questions
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How to fill out out of state services

How to fill out out of state services
01
Contact the service provider in the out-of-state location to confirm that they offer services for out-of-state clients.
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Who needs out of state services?
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What is out of state services?
Out of state services refer to services provided to clients or customers who reside outside the jurisdiction where the service provider is based.
Who is required to file out of state services?
Businesses and individuals who provide services to clients located in a different state may be required to file out of state services.
How to fill out out of state services?
To fill out out of state services, you typically need to complete specific forms provided by the relevant authority, detailing the services rendered, locations, and other required information.
What is the purpose of out of state services?
The purpose of out of state services is to ensure compliance with taxation and regulatory requirements for businesses operating across state lines.
What information must be reported on out of state services?
Information such as the nature of the service provided, the location of the service recipient, dates of service, and financial transactions must often be reported.
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