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


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AUTHORIZED TO DEDUCTIBLE INCLUDING INCOME CHANGE

REISSUED 02/01/11 - CHANGE NO. 03-11

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I. COMPLETING THE DSS-8125

REVISED 02/01/11 - CHANGE NO. 03-11

I. A. (CONT'D) (AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

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

I. A. (CONT'D) (AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

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

I. A. (CONT'D) (AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

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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”.

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VI. AUTOMATED NOTICES

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

VI. A. 5. (CONT’D) (AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

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

VI.C.7.(CONT’D) (AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

REISSUED 11/01/10 – CHANGE NO. 02-11

VI.C.9. (CONT’D)(AUTHORIZED TO DEDUCTIBLE (INCLUDING INCOME CHANGE))

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