Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update
Topics Related to Division of Health Benefits
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Fee schedule rate corrected on Feb. 5, 2024.