Home
Forms Library
NC DHSR SHCC: Data Collection Form - ncdhhs

Get the up-to-date NC DHSR SHCC: Data Collection Form - ncdhhs 2025 now

NC DHSR SHCC: Data Collection Form - ncdhhs Preview on Page 1

Show details

4 out of 5

32 votes

The document is a data collection form for substance abuse residential facilities in North Carolina, intended to gather information on current utilization and future needs for treatment services. It includes sections for contact information, licensure categories, reimbursement sources, and patient care days by county. Facilities are required to complete and return the form by April 18, 2011, via email or mail.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit NC DHSR SHCC: Data Collection Form - ncdhhs in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting documents with our extensive and intuitive PDF editor is simple. Adhere to the instructions below to complete NC DHSR SHCC: Data Collection Form - ncdhhs online easily and quickly:

Log in to your account. Log in with your email and password or register a free account to test the product prior to upgrading the subscription.
Import a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit NC DHSR SHCC: Data Collection Form - ncdhhs. Effortlessly add and underline text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or remove pages from your document.
Get the NC DHSR SHCC: Data Collection Form - ncdhhs accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to rapidly handle your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I sign my [KEY] on iOS?

With DocHub, you can rapidly sign your [KEY] or any other paperwork on iOS, even without setting up additional programs. You can access your DocHub account from any web-connected browser and complete and sign your form in any preferred method with just a few clicks.

How do you complete [KEY] online?

You can complete and sign your [KEY] online, even on a tight deadline. All you need to access top-notch editing instruments on any device is a DocHub account, which you can sign up in a couple of moments. When you sign up, upload your file or find what you are looking for in our catalog, complete it utilizing the editing instruments you want, and put your electronic signature on it at the end.

How to file a complaint against DSS in NC?

Customers or clients may file a complaint using the NC DSS Civil Rights Complaint Form. Please fill out the form and provide a copy to the local county DSS Title VI Compliance Officer. To protect your rights you must file a complaint within 180 days of the date you believe you or someone else was treated unfairly.

Is NC a con state?

At least six statesMichigan, Montana, New York, North Carolina, Tennessee and Washingtonand Washington, D.C., enacted CON legislation in 2021. Montanas legislation was the most sweeping of these bills, exempting all facilities except long-term care facilities from CON review.

Is South Carolina a con state?

S. 164 renames the State Certification of Need and Health Facility Licensure Act to the State Health Facility Licensure Act (the Act). As the new name implies, the need for a CON is removed for almost all health care facilities in South Carolina except for nursing homes and hospitals. 1.

How do I contact Medicaid in NC?

To learn more about NC Medicaid Direct, call the NC Medicaid Contact Center at 1-888-245-0179.

Is North Carolina a con state?

North Carolina is one of eight states to require CONs across all six broad categorieshospital beds, beds outside hospitals, equipment, facilities, services and emergency medical transport.

How many states have CONs?

CON laws are present in 35 states, though specifics vary. Some states 12, in fact have laws that dont regulate ASCs, which means that only 23 states, plus the District of Columbia, require ASCs to apply for a CON, while 27 states do not.

What are the changes to the con law in NC?

The aggregated threshold before triggering CON review of equipment used in diagnostic centers is raised from $1.5 million to $3 millioneffectively doubling the amount of inventory an entity can hold before it requires CON approval.

Get the up-to-date NC DHSR SHCC: Data Collection Form - ncdhhs 2025 now

Here's how it works