This form is a revocation of the authorization to consent for healthcare for a minor in Form NC-P009.
North Carolina Revocation of Authorization to Consent for Health Care for a Minor
State:
North Carolina
Control #:
NC-P009B
Format:
Word;
Rich Text
Instant download
Description North Carolina Authorization
Free preview Consent Health Care
How to fill out North Carolina Revocation?
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Consent For Minor Form popularity
Authorization Care For Other Form Names
Revocation Authorization Consent
Nc Revocation Care
Authorization Health Care
Consent Health For
North Carolina Minor
Revocation Health Care
Consent Care Minor
Nc Authorization Consent FAQ
Prior authorization is required for certain drugs prescribed to N.C. Medicaid and Health Choice recipients.Providers may submit requests for approval via fax, phone or the NCTracks secure prior authorization portal.
Depending on the complexity of the prior authorization request, the level of manual work involved, and the requirements stipulated by the payer, a prior authorization can take anywhere from one day to a month to process.
NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.1 million North Carolinians on behalf of the North Carolina Department of Health and Human Services.
If you are 65 or older, a child, or caretaker of a child, it can take up to 45 days to process your application. If you are under age 65 and have no child in your care, it can take up to 90 days to process your application. If we need additional information, we will contact you by telephone or mail.
To contact the NCTracks Call Center to inquire on recipient eligibility in NC FAST, dial 1-800-688-6696.