NC DEPARTMENT OF HEALTH & HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3561

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TRANSITIONAL NOTICE REGISTER

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EIS 3561 – TRANSITIONAL NOTICE REGISTER


I. GENERAL INFORMATION

II. THE STATE PRINTED REGISTER IS SORTED BY:

III. THE FOLLOWING INFORMATION IS LISTED ON THE STATE PRINTED REGISTER:

IV. DESTROY THE REGISTER AFTER THREE YEARS OR WHEN RELEASED FROM ALL AUDITS, WHICHEVER OCCURS LATER.

V. X/PTR - REPORT DISTRIBUTION SYSTEM


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EIS 3561 – TRANSITIONAL NOTICE REGISTER

REVISED 10/01/01 - CHANGE NO. 04-02

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I. GENERAL INFORMATION

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II. THE STATE PRINTED REGISTER IS SORTED BY:

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III. THE FOLLOWING INFORMATION IS LISTED ON THE STATE PRINTED REGISTER:

REVISED 10/01/01 - CHANGE NO. 04-02

III. H. (CONT'D)

REVISED 10/01/01 - CHANGE NO. 04-02

III. H. (CONT'D)

CHANGE REASONS - TRANSITIONAL MEDICAID (PAYMENT TYPE 5)

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IV. DESTROY THE REGISTER AFTER THREE YEARS OR WHEN RELEASED FROM ALL AUDITS, WHICHEVER OCCURS LATER.

REVISED 10/01/01 - CHANGE NO. 04-02

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V. X/PTR - REPORT DISTRIBUTION SYSTEM

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