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Internal QIP Attestation Form NC Medicaid 3136 1 2019 Fillable

Internal-QIP-Attestation-Form--NC-Medicaid-3136--1.2019-Fillable.pdf

PDF • 153.21 KB - January 08, 2019

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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.
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