CCP 8A, Enhanced Mental Health and Substance Abuse Services
Effective Sept. 15, 2023, the following technical changes were made to:
Intensive In-Home (IIH)
Staffing requirements (a): removed “effective date of this policy. For associate level licensed team leaders hired after the effective date of this policy, the 30-month timeline begins at.” The amended language now indicates, “An associate level professional actively seeking licensure may serve as the team leader conditional upon being fully licensed within 30 months from the date of hire.”
Psychosocial Rehabilitation (PSR)
Eligibility Criteria (b): “Level of Care Criteria are met” language removed.
Child and Adolescent Day Treatment (DT)
- Staffing Requirements (d): “dedicated” removed as requirement for licensed staff to allow flexibility for staffing. The removal of this language does not reduce staffing requirements.
- Staffing Requirements (d): removed “effective date of this policy. For associate level licensed professionals hired after the effective date of this policy, the 30-month timeline begins at.” The amended language now indicates, “An associate level licensed professional who fills this position must be fully licensed within 30 months from the date of hire.”
Partial Hospitalization (PH)
- Eligibility Criteria (a): "or substance use disorder" removed as an eligibility criterion to align with the Medicaid State Plan Amendment and 10A NCAC 27 g .1100.
- Eligibility Criteria (b): "Level of Care Criteria" language removed.
Clinical Coverage Policy 8C, Outpatient Behavioral Health Services
Effective Oct. 1, 2023, a technical change was made to Attachment A: Claims-Related Information (C.)
Codes): Telehealth Eligible column checked for CPT 96121.
Contact
NC Medicaid Contact Center: 888-245-0179