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NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 4300

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MAKING CHANGES TO NC HEALTH CHOICE APPLICATIONS - PART THREE

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MAKING CHANGES TO NC HEALTH CHOICE APPLICATIONS - PART THREE


I. GENERAL INFORMATION

II USE THE NAME CHANGE FUNCTION OR THE DSS-8124 SCREEN TO MAKE CHANGES TO PENDING APPLICATIONS.

III. THE FOLLOWING INFORMATION MAY NOT BE CHANGED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM:

IV. OUTPUT


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EIS 4300 - MAKING CHANGES TO NC HEALTH CHOICE APPLICATIONS
PART THREE

REISSUED 03/01/10 - CHANGE NO. 03-10

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I. GENERAL INFORMATION

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II USE THE NAME CHANGE FUNCTION OR THE DSS-8124 SCREEN TO MAKE CHANGES TO PENDING APPLICATIONS.

REVISED 03/01/10 - CHANGE NO. 03-10

II. B. (CONT’D)

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III. THE FOLLOWING INFORMATION MAY NOT BE CHANGED ON AN APPLICATION THAT HAS BEEN ENTERED AND ACCEPTED INTO THE SYSTEM:

    A. Case ID Number

    B. Form ID Number

    C. Application Type

    D. Application Date

    E. Total Number of People on This Application

      1. Do not change this field to add new individuals to an already pending application. A separate application is needed to add an individual.
      2. Do not change this field if you determine one or more individuals on the application are ineligible. The individuals must be indicated ineligible on the DSS-8125 when the application is approved. See Part Four for instructions on how to delete an individual at the time of approval.

    F. Line Number

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IV. OUTPUT

    EIS produces an Application Turnaround (DSS-8124I) the night the change is processed. The DSS-8124I is mailed to the county the following workday.

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