Clinical Coverage Policies

Tuesday, October 6, 2020

The following new or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website.

  • 1A-13, Ocular Photodynamic Therapy - 8/1/2020  
  • 3D, Hospice - 8/1/2020
  • 1A-30, Spinal Surgeries - 8/15/2020
  • 1E-3, Sterilization Procedures - 8/15/2020
  • 1K-7, Prior Approval for Imaging Services - 8/15/2020
  • 3K-1, Community Alternatives Program for Children (CAP/C) - 8/15/2020
  • 1S-7, Gene Expression Profiling for Breast Cancer - 9/1/2020
  • 1A-19, Transcranial Doppler Studies - 9/15/2020
  • 1A-26, Deep Brain Stimulation - 9/15/2020
  • 1A-27, Electrodiagnostic Studies - 9/15/2020
  • 1A-28, Visual Evoked Potential (VEP) - 9/15/2020
  • 1A-33, Vagus Nerve Stimulation for the Treatment of Seizures - 9/15/2020
  • 1K-1, Breast Imaging Procedures - 9/15/2020
  • 1R-4, Electrocardiography, Echocardiography and Intravascular Ultrasound - 9/15/2020

These policies supersede previously published policies and procedures. 

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

Contact

NC Medicaid Contact Center, 888-245-0179