NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3564

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HEALTH COVERAGE FOR WORKERS WITH DISABILITIES REPORTS

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EIS 3564 – HEALTH COVERAGE FOR WORKERS WITH DISABILITIES REPORTS


I. HEALTH COVERAGE FOR WORKERS WITH DISABILITIES (HCWD) enrollment FEE RECONCILIATION REPORT

II. HEALTH COVERAGE FOR WORKERS WITH DISABILITIES (HCWD) DETAILED ENROLLMENT FEE RECONCILIATION REPORT FOR APPROVALS


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EIS 3564 – HEALTH COVERAGE FOR WORKERS WITH DISABILITIES REPORTS

(Suspended 12/01/2009)

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

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I. HEALTH COVERAGE FOR WORKERS WITH DISABILITIES (HCWD) enrollment FEE RECONCILIATION REPORT

REISSUED 01/01/10 - CHANGE NO. 02-10

I. C. (CONT’D)

ISSUED 05/01/09 - CHANGE NO. 03-09

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II. HEALTH COVERAGE FOR WORKERS WITH DISABILITIES (HCWD) DETAILED ENROLLMENT FEE RECONCILIATION REPORT FOR APPROVALS

ISSUED 05/01/09 - CHANGE NO. 03-09

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