NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3102

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CHANGES TO RRF AND SA CASES

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EIS 3102 – CHANGES TO R-RF AND SA CASES


I. USE THE DSS-8125, ELIGIBILITY INFORMATION SYSTEM DATA SHEET, TO ENTER SPECIAL ASSISTANCE HIGHER LEVEL OF CARE SPECIAL COVERAGE DATA INTO EIS IN THE FOLLOWING SITUATIONS:

II. USE THE FOLLOWING INSTRUCTIONS TO ENTER HIGHER LEVEL OF CARE INFORMATION FOR EITHER OF THE SITUATIONS LISTED IN I. ABOVE.

III. SIGNATURES AND DATE.

IV. SUBMIT THE DSS-8125 TO DATA ENTRY FOR KEYING.

V. OUTPUTS

VI. FOR ANY CHANGES NOT LISTED, SEE "OTHER CHANGED DATA.


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SPECIAL COVERAGE - SPECIAL ASSISTANCE HIGHER LEVEL OF CARE

REISSUED 10/01/09 – CHANGE NO. 01-10

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I. USE THE DSS-8125, ELIGIBILITY INFORMATION SYSTEM DATA SHEET, TO ENTER SPECIAL ASSISTANCE HIGHER LEVEL OF CARE SPECIAL COVERAGE DATA INTO EIS IN THE FOLLOWING SITUATIONS:

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II. USE THE FOLLOWING INSTRUCTIONS TO ENTER HIGHER LEVEL OF CARE INFORMATION FOR EITHER OF THE SITUATIONS LISTED IN I. ABOVE.

REVISED 10/01/09 – CHANGE NO. 01-10

II. A. 8. c. (CONT'D)

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III. SIGNATURES AND DATE.

REISSUED 10/01/09 – CHANGE NO. 01-10

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IV. SUBMIT THE DSS-8125 TO DATA ENTRY FOR KEYING.

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V. OUTPUTS

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VI. FOR ANY CHANGES NOT LISTED, SEE "OTHER CHANGED DATA.

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