DHB-5052 NOTICE: YOUR ESTATE IS SUBJECT TO MEDICAID RECOVERY
Form Number | DHB-5052 |
Medicaid Form Number | DHB-5052 |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2023-05-23T14:30:00-04:00 |
Form File | DHB-5052_5-2023.pdf |
Form Number | DHB-5052 |
Medicaid Form Number | DHB-5052 |
Agency/Division | Health Benefits/NC Medicaid (DHB) |
Form Effective Date | 2023-05-23T14:30:00-04:00 |
Form File | DHB-5052_5-2023.pdf |