Topics Related to Durable Medical Equipment Providers

The waiver has received approval for another five years through Feb. 29, 2028.

A new prior authorization is required for beneficiaries returning to NC Medicaid Direct

Flexibilities ending at or after the end of the Federal Public Health Emergency

Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.

This bulletin replaces the previous bulletin published Nov. 21, 2022.

Taxonomy numbers are not included in Clinical Policy but are included in the associated Fee Schedules.

An amended version is posted with an effective date of Aug. 1, 2022

Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.

Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied

An updated version of the policy with an amendment date of May 15, 2022, is posted.