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Application for Nursing Home, Residential or In ... - SC DHHS
www.scdhhs.govPhone Numbers Home: Work: Cell: 2. Tell us about the person(s) who needs nursing home, long term care, or residential care. Please include any dependents the person may have, such as a spouse or children. This information is Optional for: Anyone not applying for Medicaid coverage; A non-citizen applying for Emergency Services Only
APPENDIX 2 CARRIER CODES - SC DHHS
www.scdhhs.gov119 american heritage life insurance 1776 american heritage life dr. jacksonville fl 32224 8005358086 840 american, income life insurance company po box 2608 waco tx 76797 8177723050 b69 american insurance administrators po box 2348 columbus oh 432162348 8009221245 this code not requested by medicaid.