DHB-2039 PHP Notification of Nursing Facility Level of Care
Form Number | DHB-2039 |
Medicaid Form Number | DHB-2039 |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2022-12-07T09:55:00-05:00 |
Form File | PHP NF Level of Care Notification 11.22.pdf |