New and Amended Clinical Coverage Policies

Tuesday, March 9, 2021

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

  • 1A-22, Medically Necessary Circumcision - 1/1/2021
  • 8C, Outpatient Behavioral Health Services Provided by Direct-Enrolled Providers - 1/1/2021
  • 8J, Children's Developmental Service Agencies (CDSAs) - 1/1/2021
  • 10B, Independent Practitioners (IP) - 1/1/2021
  • 10C, Outpatient Specialized Therapies - Local Education Agencies (LEAs) - 1/1/2021
  • 10D, Independent Practitioners Respiratory Therapy Services - 1/1/2021
  • 1A-12, Breast Surgeries - 2/1/2021
  • 1A-19, Transcranial Doppler Studies - 2/1/2021
  • 1A-24, Diabetes Outpatient Self - Management Education - 2/15/2021

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.


NC Medicaid Contact Center, 888-245-0179