NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 1200

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EIS 1200 – STATE OFFICE CONTACTS


I. DIVISION OF INFORMATION RESOURCE MANAGEMENT (DIRM)

II. DIVISION OF MEDICAL ASSISTANCE (DMA)

III. DIVISION OF SOCIAL SERVICES (DSS)

IV. DIVISION OF AGING AND ADULT SERVICES (DAAS)

V. IEVS COORDINATOR

Vi. Online FORMS

ViI. Printed forms


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EIS 1200 – STATE OFFICE CONTACTS

REVISED 08/01/04 - CHANGE NO. 01-05

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I. DIVISION OF INFORMATION RESOURCE MANAGEMENT (DIRM)

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II. DIVISION OF MEDICAL ASSISTANCE (DMA)

REVISED 08/01/04 - CHANGE NO. 01-05

II. (CONT’D)

REISSUED 10/01/04 - CHANGE NO. 02-05

II. C. (CONT’D) CLAIMS ANALYSIS UNIT-CONT’D)

REVISED 10/01/04 - CHANGE NO. 02-05

II. (CONT’D)

REVISED 05/01/09 - CHANGE NO. 03-09

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III. DIVISION OF SOCIAL SERVICES (DSS)

REISSUED 05/01/09 - CHANGE NO. 03-09

III. B. 1. (CONT’D)

REVISED 10/01/12 – CHANGE NO. 01-13

III. (CONT’D)

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IV. DIVISION OF AGING AND ADULT SERVICES (DAAS)

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V. IEVS COORDINATOR

EIS UNIT
ATTN: BRENDA GOOCH
Division of Medical Assistance
2501 Mail Service Center
RALEIGH NC 27699-2501

Located at

801 Ruggles Dr.
Hoey Building, Dix Campus

Raleigh

Phone (919) 855-4000

Fax# (919) 715-0801

REISSUED 10/01/12 – CHANGE NO. 01-13

V. (CONT’D)

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Vi. Online FORMS

REVISED 05/01/09 – CHANGE NO. 03-09

VI. B. (CONT’D)

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ViI. Printed forms

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