NC Department of Health & Human Services

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NCDHHS Policies and Manuals > Health Benefits/NC Medicaid

DHB-2050 Voluntary Request to Terminate Medicaid

DHB-2050 Voluntary Request to Terminate Medicaid
DHB-2043 Third Party Recovery Accident Information Form
DHB-1061 Checklist for Child Medical Evaluation (CME) Reporting
DHB-2039 PHP Notification of Nursing Facility Level of Care
DHB-2040 Tribal and Indian Health Services
DHB-2040B Tribal and Indian Health Services

Document Category: Health Benefits/NC Medicaid

DHB-2050 Voluntary Request to Terminate Medicaid

January 24, 2024
DHB-2043 Third Party Recovery Accident Information Form

January 24, 2024
DHB-1061 Checklist for Child Medical Evaluation (CME) Reporting

January 24, 2024
DHB-2039 PHP Notification of Nursing Facility Level of Care

January 24, 2024
DHB-2040 Tribal and Indian Health Services

January 24, 2024
DHB-2040B Tribal and Indian Health Services

January 24, 2024

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Contact Information

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000

Customer Service Center: 1-800-662-7030
Visit RelayNC for information about TTY services

Division of Budget and Analysis

2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4850