Proposed Clinical Coverage Policies for Public Comment

Author: NC Medicaid Clinical Policy, 919-855-4260

Proposed Clinical Coverage Policies for Public Comment

Proposed new or amended Medicaid and NC Health Choice clinical coverage policies are posted for comment throughout the month. Visit the Proposed Medicaid and NC Health Choice Policies for current posted policies and instructions to submit a comment.

As of Nov. 1, 2018, the following NC Medicaid policies are open for public comment:

Proposed Policy Comment Period

10B, Independent Practitioners

10/04/2018 through 11/18/2018

Prior Approval Criteria Cystic Fibrosis

10/01/2018 through 11/15/2018

Outpatient Pharmacy

     Clinical Edits - Behavioral Health - Pediatric

     Clinical Edits - Behavioral Health - Adult

10/01/2018 through 11/15/2018

6B, Routine Eye Examination and Visual Aids for Beneficiaries 21 Years of Age and Older

New policy documenting restored coverage of routine eye examinations and visual aids for Medicaid beneficiaries 21 years of age and older.

09/26/2018 through 11/10/2018

11A-17, CAR-T Cell Therapy

09/17/2018 through 11/01/2018

 

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