Provider Relations

Provider Relations Forms

Provider Community Intervention Services (CIS)/Enhanced Benefits Application/NC Medicaid Enrollment Application

Provider Direct Enrollment Application

Provider Change in Status Form

CAP-MR/DD Waiver Services Application

CAP-MR/DD Waiver Services Addendum

Packet Technical Assistance Form

Provider Physical Location Form

CAP-MR/DD Information

Overview of CAP (.pdf)

Waivers (.pdf)

Cost Summaries – Support (.xls)

Cost Summaries – Comprehensive (.xls)

Risk Identification Tool Instructions (.pdf)

CAP Manual (.pdf)

DHHS Web Site

Important Links