DHB-5002 Important Notice About Your Medicaid or Special Assistance Approval

Sep 27, 2021 · Medicaid covers all necessary medical services. If you get Medicare from the Social Security Administration, Medicaid will pay your Medicare A and B premiums, deductible, and coinsurance beginning: Medicaid pays only Medicare Part A and B premiums and Medicare cost sharing for Medicare and Medicaid covered services.

Llame, escriba o contacte a su asistente social por vía electrónica, o ePASS para pedir una audiencia. Se realizará una audiencia local en el plazo de 5 días a partir de su solicitud, a menos que pida que la pospongan. Ésta se puede posponer, por una buena causa, por hasta 15 días calendario. Luego, si piensa que la decisión de la audiencia local es incorrecta, llame, escriba o …

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B. The following forms have been updated and are now available in the DHB Forms Library: DHB-5002, Important Notice about your Medicaid or Special Assistance Approval Notice

Dec 19, 2005 · The DMA-5003/DMA-5003S, Approval Notice, replaces the manual DSS-8108/DSS-8108S, Notice of Benefits, for the Family and Children’s Medicaid categories.

The DSS-8108 is the proper notice for all SA approvals at application and redetermination. However, it has come to our attention that the DMA-5002 is also a correct approval/renewal notice for Special Assistance cases along with the DSS-8108.

Note: These forms are found on the NCTracks Prior Approval webpage.

The Division of Health Benefits (DHB) has revised and/or updated Medicaid policy in order to provide clarity and/or corrections to previously published policy. These revisions are spelled out in section II below.