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dma-0100 Physician’s Signature for Authorization of Level of Care
dhb-8010 Notice of Overpayment For Medical Assistance
dhb-7059 Notice Of Change In Overpayment For Medical Assistance
DHB-5202E-ia Medical Bills – Appendix E
DHB-5202C-ia Designation of Authorized Representative – Appendix C
DHB-5161 Transfer of Asset Below Current Market Value
DHB-5118B-ia Medicaid Transportation Verification of Receipt of Covered Service- B
DHB-5118A-ia Medicaid Transportation Verification of Receipt of Covered Service – A
DHB-5076 Pregnancy Management Program
DHB-5027 Veteran’s Benefits Verification Letter
DHB-5003 Medicaid Approval Notice
DHB-5002 Important Notice About Your Medicaid or Special Assistance Approval
SCCA-DCDL-2020-#02, Retention of Records for the Subsidized Child Care Assistance Program
SCCA-DCDL-2022-#05, Revised Retention of Records for the Subsidized Child Care Assistance Program
Corrected National Voter Registration Act (NVRA) Requirements
SCCA-Admin-Letter-#23-01, Changes to Subsidized Child Care Assistance (SCCA) Program Policy
Initial Application Submission Recertification Application Submission Base Periods Calculation of Income SCCA-Admin-Letter-#23-01, Application, Recertification & Base Periods Guide (chart)
LOOK WHAT I CAN DO WITH SPANISH
DCDEE-0454-B: SCCA Supplemental Payment Provider Information Form
Chapter 09: Parental Choice and Voucher Procedures
Chapter 06: Attachment 1 Supplemental Payments Fact Sheet
DSS-5241ins: Permanency Planning Review_Instructions (PATH NC)
DSS-5240ins: Permanency Planning Family Case Plan_Instructions (PATH NC)