If a member is in a health plan and needs services they can only get in NC Medicaid Direct or the LME-MCOs for a serious mental health disorder, severe substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI), use one of these forms: Request to move to NC Medicaid Direct or Local Management Entity-Managed Care Organization (LME-MCO)
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Create a signature, then add it or your initials anywhere in the PDF file. It makes sure your form is complete and correct. The Acrobat Fill & Sign tool lets you sign PDF documents from any browser, like Google Chrome.