Programs and Services

Annual Visit Limit

Behavioral Health I/DD Tailored Plan

Care Management

• Care Coordination for Children (CC4C)
• HIV Case Management
• Local Education Agencies
• Tailored Care Management

Collaborative Care Model

Community Care of North Carolina (CCNC)

Dental and Orthodontic

Electronic Health Records

Family Planning and Maternity

• Family Planning Medicaid
• Extended Postpartum Care
• Be Smart Family Planning Program
• Early Intervention
• Maternal Support Services (Baby Love Program)
• Pregnancy Medical Home

Hearing and Vision

• Hearing Aids
• Optical Services and Visual Aids

Hospital Presumptive Training

Long-Term Services & Supports (LTSS)

• LTSS Services and Eligibility Requirements Fact Sheet - English
• LTSS Services and Eligibility Requirements Fact Sheet - Spanish
• Adult Care Homes
• Community Alternatives Program for Children (CAP/C)
• Community Alternatives Program for Disabled Adults (CAP/DA)
• Electronic Visit Verification
• Home Health Services
• Home Infusion Therapy
• Hospice Services
• Intermediate Care Facilities – Individual with Intellectual Disabilities (ICF-IID)
• Money Follows the Person (MFP)
• NC Innovations Waiver
• Nursing Facilities
• Personal Care Services (PCS)
• Pre-Admission Screening and Resident Review (PASRR)
• Program of All-Inclusive Care for the Elderly (PACE)
• Private Duty Nursing (PDN)

Medicaid Transportation

Medical

• Ambulance Services
• Ambulatory Surgical Services
• Anesthesia Services
• Chiropractic Services
• Durable Medical Equipment
• Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
• End-Stage Renal Disease Services
• Federally Qualified Health Centers
• Health Check
• Health Department Services
• Hospitals and Hospital Cost Reports
• Independent Practitioner Services
• Laboratory Services
• OB/GYN Services
• Orthotics and Prosthetics
• Outpatient Specialized Therapies
• Physician Services
• Podiatry Services
• Radiology Services
• Rural Health Clinics

Mental Health, Intellectual Disabilities and Substance Use Disorders

• 1915(i) Home and Community Based Services
• Behavioral Health I/DD Services
• NC Innovations Waiver
• Outpatient Behavioral Health Services
• Psychiatric Residential treatment Facility Services
• School-Based Psychological Services

Prescription Drugs

• Medicare Part D
• Pharmacy Services
• Pharmacy Frequently Asked Questions (FAQs)
• Physician Administered Drug Program
• Pharmacy Newsletters 2025

Prior Approval and Due Process