NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 2051

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EIS 2051- MAKING CHANGES TO MEDICAID APPLICATIONS


I. GENERAL INFORMATION

II. THE FOLLOWING INFORMATION MAY BE CORRECTED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM ON THE NAME CHANGE SCREEN:

III. THE FOLLOWING INFORMATION MAY BE CORRECTED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM ON THE DSS-8124I:

IV. THE FOLLOWING INFORMATION MAY NOT BE CHANGED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM:

V. CHANGE OF CASEHEAD/PAYEE - See EIS 3101 for detailed instructions for casehead/payee change.

VI. CHANGE OF NOTICE OVERRIDE

VII. SIGN AND DATE THE APPLICATION OR APPLICATION TURNAROUND.

VIII. KEY THE CHANGES.

IX. OUTPUT


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EIS 2051- MAKING CHANGES TO MEDICAID APPLICATIONS

REISSUED 03/01/10 - CHANGE NO. 03-10

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I. GENERAL INFORMATION

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II. THE FOLLOWING INFORMATION MAY BE CORRECTED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM ON THE NAME CHANGE SCREEN:

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III. THE FOLLOWING INFORMATION MAY BE CORRECTED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM ON THE DSS-8124I:

REVISED 03/01/10 - CHANGE NO. 03-10

III. (CONT’D)

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IV. THE FOLLOWING INFORMATION MAY NOT BE CHANGED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM:

REISSUED 03/01/08 - CHANGE NO. 05-08

IV. (CONT”D)

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V. CHANGE OF CASEHEAD/PAYEE - See EIS 3101 for detailed instructions for casehead/payee change.

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VI. CHANGE OF NOTICE OVERRIDE

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VII. SIGN AND DATE THE APPLICATION OR APPLICATION TURNAROUND.

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VIII. KEY THE CHANGES.

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IX. OUTPUT

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