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Updated Utilization Review Requirements for Eligible Inpatient Hospitals

Updating the date format requirement for Hospital UR Plan submission.

Clinical Coverage Policy 2A-1 Acute Inpatient Hospital Services requires a signature page on the Utilization Review Plan be submitted to NC Medicaid every four years. The policy states “The UR plan must be signed by the hospital administrator or authorized committee members.”

NC Medicaid is clarifying that the wet or electronic signature on the UR plan must include the full name of the signer and date signed (month/day/year). 

Please continue to monitor the NC Medicaid Program Specific Clinical Coverage Policies webpage for updates to the 2A-1 Acute Inpatient Services policy to reflect this change.

Contact

NC Medicaid Contact Center
888-245-0179

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