Program Specific Clinical Coverage Policies

Related Links

For archived versions of clinical coverage policies, contact Clarissa Fleet.

Medicaid and NC Health Choice providers can research their questions and submit inquires through: Frequently Asked Questions and Answers - Medicaid Providers

Policies

Allergies

Ambulance

Anesthesia

Auditory Implants External Parts

Behavioral Health

Burn Treatments & Skin Substitutes & Skin Substitutes

Cardiac Procedures

Chiropractic Services

Community-Based Services

Dental

Dietary Evaluation and Counseling

Facility Services

Hearing Aid Services

Laboratory Services

Maternal Support Services (Baby Love)

Medical Equipment

Obstetrics & Gynecology

Ophthalmological Services

Pharmacy Services

Clinical Coverage Policies

Clinical Coverage Criteria and Prior Approval Request Forms

Physician-Administered Drug Program

Physician Clinical Coverage Policies

Podiatry

Radiology

Reconstructive Surgery

Rural Health Clinics, FQHC and Health Departments. (RHC, FQHC, Health Depts)

Solid Organ Transplants

Specialized Therapies

Stem Cell Transplants

Targeted Case Management

Telehealth

Ventricular Assist Device

Vision Services