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Request for Services and Instructions (DHB 3051)

PDF • 329.73 KB - September 18, 2024

NOTE: This form last updated on Sept. 18, 2024.

Division/Office

First Published

June 2, 2022

Last Updated

September 18, 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.