DHB-2040B Tribal and Indian Health Services
Medicaid Form Number | DHB-2040B |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2021-09-23T11:40:00-04:00 |
Form File | DHB-2040B TRIBAL AND INDIAN HEALTH SERVICES.pdf |
Medicaid Form Number | DHB-2040B |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2021-09-23T11:40:00-04:00 |
Form File | DHB-2040B TRIBAL AND INDIAN HEALTH SERVICES.pdf |