DHB-5048 Medicaid Transportation Exception Verification
Form Number | DHB-5048 |
Medicaid Form Number | DHB-5048 |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2022-05-09T09:30:00-04:00 |
Form File | DHB-5048.pdf |
Form Number | DHB-5048 |
Medicaid Form Number | DHB-5048 |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2022-05-09T09:30:00-04:00 |
Form File | DHB-5048.pdf |