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Orthotic and Prosthetic Devices

Orthotic and Prosthetic devices are purchased for customers when prescribed by the treating physician, physician’s assistant or nurse practitioner, and medical necessity is documented. An item is medically necessary if it is needed to maintain or improve a beneficiary’s medical, physical or functional level. Orthotic and prosthetic devices purchased by Medicaid become the property of the Medicaid beneficiary.

Clinical Coverage Policy 5B, Orthotics and Prosthetics (effective 1/15/18)

Face-to-Face Encounters - Questions and Answers (effective 7/1/2017)

Fee Schedules (effective Jan. 1, 2014)

Prior Approval Forms

Contact

Medicaid Contact Center
888-245-0179
Medicaid.DMErequest@dhhs.nc.gov

NC Tracks Contact Center
800-688-6696
NCTracksProvider@nctracks.com