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dma 5033sp

Presumptive Eligibility Transmittal Form (DMA-5033sp) - Spanish

PDF • 18.15 KB - September 10, 2015

First Published

September 10, 2015

NC Medicaid, Division of Health Benefits
2501 Mail Service Center
Raleigh, NC 27699-2501

NC Medicaid Contact Center
Phone: 888-245-0179

Monday-Friday 8 a.m. to 5 p.m.

Closed on State holidays.

Visit RelayNC for information about TTY services.