ADULT MEDICAID

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