NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3101

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CHANGES TO MEDICAID CASES

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EIS 3101 – CHANGES TO MEDICAID CASES


I. COMPLETING THE DSS-8125

II. SIGNATURES AND DATE

III. KEY THE DSS-8125.

IV. OUTPUTS

V. FOR ANY CHANGES NOT LISTED, SEE ”OTHER CHANGED DATA”.

VI. AUTOMATED NOTICES (DELETION OF INDIVIDUAL)


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DELETION OF AN INDIVIDUAL

REVISED 10/01/96 - CHANGE NO. 02-96

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I. COMPLETING THE DSS-8125

REVISED 10/01/96 - CHANGE NO. 02-96

I. A. (CONT'D) (DELETION OF AN INDIVIDUAL)

REVISED 10/01/12 - CHANGE NO. 01-13

I. B. (CONT'D) (DELETION OF AN INDIVIDUAL)

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II. SIGNATURES AND DATE

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III. KEY THE DSS-8125.

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IV. OUTPUTS

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V. FOR ANY CHANGES NOT LISTED, SEE ”OTHER CHANGED DATA”.

REISSUED 10/01/12 - CHANGE NO. 01-13

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VI. AUTOMATED NOTICES (DELETION OF INDIVIDUAL)

REVISED 10/01/09 - CHANGE NO. 01-10

VI. (CONT'D) (DELETION OF INDIVIDUAL)

REISSUED 10/01/12 - CHANGE NO. 01-13

VI. C. (CONT'D) (DELETION OF INDIVIDUAL)

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