NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3051

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REDETERMINING ELIGIBILITY FOR MEDICAID ONLY PROGRAMS

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EIS 3051 – REDETERMINING ELIGIBILITY FOR MEDICAID ONLY PROGRAMS


I. GENERAL INFORMATION

II. CASE MANAGEMENT REPORT

III. ACTIONS THAT REQUIRE A SEPARATE DSS-8125

IV. COMPLETING THE REDETERMINATION

V. DO NOT ENTER THE FOLLOWING INFORMATION ON THE DSS-8125 FOR REDETERMINATIONS.

VI. COMPLETE THE SIGNATURES AND DATE SECTION

VII. KEY THE DSS-8125.

VIII. OUTPUTS

IX. AUTOMATED NOTICES


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EIS 3051 – REDETERMINING ELIGIBILITY FOR MEDICAID ONLY PROGRAMS

REVISED 03/01/07 – CHANGE NO. 05-07

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I. GENERAL INFORMATION

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II. CASE MANAGEMENT REPORT

REISSUED 03/01/07 - CHANGE NO. 05-07

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III. ACTIONS THAT REQUIRE A SEPARATE DSS-8125

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IV. COMPLETING THE REDETERMINATION

REVISED 10/01/05 – CHANGE NO. 02-06

IV. A. (CONT'D)

REISSUED 10/01/05 – CHANGE NO. 02-06

IV. A. (CONT'D)

REVISED 10/01/09 – CHANGE NO. 01-10

IV. B. (CONT'D)

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V. DO NOT ENTER THE FOLLOWING INFORMATION ON THE DSS-8125 FOR REDETERMINATIONS.

D. ISSUE CRD (See EIS 3105 for how to request replacement cards).

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VI. COMPLETE THE SIGNATURES AND DATE SECTION

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VII. KEY THE DSS-8125.

REVISED 10/01/09 – CHANGE NO. 01-10

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VIII. OUTPUTS

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IX. AUTOMATED NOTICES

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