This bulletin reflects revised effective dates and applies to all research‑based behavioral health treatment providers in NC Medicaid Managed Care and NC Medicaid Direct.
Topics Related to Behavioral Health Providers
This bulletin applies to all research-based behavioral health treatment providers in NC Medicaid Managed Care and NC Medicaid Direct.
Concurrent Child and Adolescent Day Treatment and Residential Treatment Services remain subject to medical necessity and non-duplication requirements.
On April 20, 2027, the Innovations Waiver “Community/Behavioral Health” Service under taxonomy 251S00000X will be end-dated on provider records.
Action Required: Providers with Active 251S00000X Taxonomy must select Service and meet national accreditation requirements within one year.
Action Required: Providers with Active 251S00000X Taxonomy must select New Service and Report National Accreditation.
Applications must be submitted no later than March 22, 2026, at 11:59 p.m.
For NC Medicaid and Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMHDDSUS) State Funded Behavioral Health Providers.
This bulletin corrects Current Procedure Terminology (CPT) code tables initially published Dec. 30, 2025.
Promulgation of New Clinical Coverage Policies and Amendment to Clinical Coverage Policy 8A Enhanced Mental Health and Substance Abuse Services.