ADULT MEDICAID

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Across
  1. 2. MEDICAL TRANSPORTATION
  2. 4. MEDICAID FOR THE DISABLED
  3. 6. OF STATE SSI
  4. 7. ESTATE RECOVERY UNDER 55
  5. 10. MEDICAL RELEASE FORM
  6. 11. SPANISH TRANSLATOR FORM
  7. 12. VEHICLE REBUTTAL
  8. 13. THIRD PARTY RECOVERY
  9. 14. FULL MEDICAID- NO DENTAL,VISION, INHOME, OR MEDICAL TRANSPORTATION
  10. 15. CONSENT FOR RELEASE OF INFORMATION
  11. 16. USE OF SOCIAL SECURITY NUMBERS
  12. 17. REQUST FOR INFORMATION
  13. 21. MEDICAID FOR THE BLIND
  14. 23. BANK REQUEST FORM
  15. 24. INQUIRY
Down
  1. 1. NC RESIDENCY
  2. 3. MEDICARE PART B PREMIUMS PAID ONLY CANNOT BE DUALLY ELIGIBLE
  3. 5. NC RESIDENCY BY A THIRD PARTY
  4. 6. PCP FORM
  5. 8. NOTICE OF YOUR RIGHTS TO APPLY
  6. 9. LIFE INSURANCE
  7. 11. IMPORTANT INFORMATION YOU NEED TO KNOW
  8. 14. MEDICAID FOR THE AGED
  9. 15. ESTATE RECOVERY 55 AND OLDER
  10. 18. MEDICARE PART B PREMIUMS PAID ONLY
  11. 19. MENTAL HEALTH CONSENT FORM
  12. 20. DISABILITY SUMMARY
  13. 22. DISABLED WORKING INDIVIDUAL