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Quality Improvement Attestation Form (NC Medicaid 3136)

PDF • 193.43 KB - January 05, 2024

Division/Office

Last Updated

January 5, 2024

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.