dma-5001-E Notice on the Use of Social Security Numbers
| Medicaid Form Number | dma-5001-E |
| Agency/Division | Health Benefits/NC Medicaid (DHB) |
| Form Effective Date | 2020-04-28T09:45:00-04:00 |
| Form File | dma-5001-E 4-2020.pdf |
| Medicaid Form Number | dma-5001-E |
| Agency/Division | Health Benefits/NC Medicaid (DHB) |
| Form Effective Date | 2020-04-28T09:45:00-04:00 |
| Form File | dma-5001-E 4-2020.pdf |