dma-5051sp Notice of Medicaid Recovery - People Under 55 (Spanish)
| Form Number | dma-5051sp |
| Medicaid Form Number | dma-5051sp |
| Agency/Division | Health Benefits/NC Medicaid (DHB) |
| Form Effective Date | 2012-11-08T15:20:00-04:00 |
| Form File | DMA-5051_es.pdf |
| Form Number | dma-5051sp |
| Medicaid Form Number | dma-5051sp |
| Agency/Division | Health Benefits/NC Medicaid (DHB) |
| Form Effective Date | 2012-11-08T15:20:00-04:00 |
| Form File | DMA-5051_es.pdf |