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No Longer Active NC Health Choice Policies

The North Carolina Division of Medical Assistance has archived the following because they are no longer active.

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No Longer Active NC Health Choice Policies

• Abatacept (Date of termination 9/30/2011)
• Acupuncture (Date of termination 2/29/2012)
• Air Fluidized Beds (Date of termination 10/31/2011)
• Alefacept Injection (Date of termination 9/30/2011)
• Ambulance (Date of termination 4/30/2012)
• Ambulatory Event Monitors (Date of termination 2/29/2012)
• Anesthesia (Date of termination 4/30/2012)
• Ankle Replacement, Total (Date of termination 2/29/2012)
• Anterior Cruciate Ligament Allograft (Date of termination 2/29/2012)
• Arthroscopic Surgery for Femoroacetabular Impingement (Date of termination 2/29/2012)
• Autologous Chondrocyte Implantation (Date of termination 2/29/2012)
• Behavioral Health Services for Children with Special Health Care Needs (Date of termination 2/29/2012)
• Biofeedback (Date of termination 4/30/2012)
• Blood (Whole, Components, & Derivatives) (Date of termination 2/29/2012)
• Bone Marrow Transplant for Breast Cancer (Date of termination 4/30/2012)
• Bone Marrow Transplant for Miscellaneous Tumors In Adults (Date of termination 4/30/2012)
• Bone Morphogenetic Protein (Date of termination 9/30/2011)
• Brachytherapy Treatment of Breast Cancer (Date of termination 4/30/2012)
• Canalith Repositioning for Benign Paroxysmal Positional Vertigo (Date of termination 9/30/2011)
• Cardiac and Coronary Artery Computed Tomography (CT) and Computed Tomographic Angiography (CTA) (Date of termination 4/30/2012)
• Carotid Artery Angioplasty/Stenting (CAS) (Date of termination 9/30/2011)
• Cataract Lenses For Aphakia (Date of termination 4/30/2012)
• Chelation Therapy (Date of termination 2/29/2012)
• Chemoembolization of the Hepatic Artery, Transcatheter Approach (Date of termination 2/29/2012)
• Chemotherapy for Malignant Disease (Date of termination 2/29/2012) 
• Children with Special Needs - Physical Health Services (Date of termination 2/29/2012)
• Collagen Implantation (Date of termination 9/30/2011)
• Congenital Heart Defect Repair Devices (Date of termination 2/29/2012)
• Continuous Local Delivery of Anesthesia to Operative Site (Date of termination 2/29/2012)
• Continuous or Intermittent Monitoring of Glucose in the Interstitial Fluid (Date of termination 2/29/2012)
• Continuous Passive Motion in the Home Setting (Date of termination 10/31/2011)
• Contraceptives (Date of termination 2/29/2012)
• Corneal Transplant (Keratoplasty) (Date of termination 2/29/2012)
• Cough Stimulating Device (Date of termination 10/31/2011)
• CPAP, BiPAP, DPAP (Date of termination 10/31/2011)
• Crisis Evaluation and Stabilization Services (Date of termination 2/29/2012)
• Cryoablation or Radiofrequency Ablation of Renal Cell Cancer (Date of termination 2/29/2012)
• Custodial Care (Date of termination 2/29/2012)
• Dental and Oral Surgery Services (Date of termination 9/30/2011)
• Dietary Supplements (Date of termination 4/30/2012)
• Durable Medical Equipment and Supplies (Date of termination 4/1/2013)
• Durable Medical Equipment (Date of termination 10/31/2011)
• Electroconvulsive Therapy (ECT) (Date of termination 2/29/2012)
• Electroencephalograms (Date of termination 2/29/2012)
• Electroencephalography, Stereotactic Approach (Date of termination 9/30/2011)
• Endovascular Stent Graft for Aortic Aneurysm (Date of termination 9/30/2011)
• Enhanced External Counterpulsation (EECP) (Date of termination 9/30/2011)
• Enhanced Mental Health and Substance Abuse Services (Date of termination 4/30/2013)
• Excision of Gynecomastia (Date of termination 5/31/2012)
• Functional Capacity Assessment and Work Hardening (Date of termination 9/30/2011)
• Gait Analysis (Date of termination 9/30/2011)
• Genetic Testing for Breast and Ovarian Cancer (Date of termination 12/31/2012)
• Genetic Testing for Colon Cancer (Date of termination 4/30/2012)
• Hearing Aids (Date of termination 6/14/2012) 
• High-dose chemotherapy, Bone Marrow or Peripheral Stem Cell Transplant for Ovarian Cancer and Germ Cell Tumors Arising in the Ovaries (Date of Termination 3/1/2012)
• Hospice Care (Date of Termination 10/31/2012)
• Hyperalimentation (Total Parenteral Nutrition/TPN) (Date of Termination 4/30/12)
• Hyperthermia Therapy (Date of termination 4/30/2012)
• Immunizations (Date of termination 4/30/2012)
• Implantable Bone Conduction Hearing Aids (BAHA) (Date of termination 3/31/2013)
• Infliximab (Date of termination 9/30/2011)
• Inpatient Medical Detoxification for Chemical Dependency (Date of termination 2/29/2012)
• Inpatient Psychiatric Care or Inpatient Chemical Dependency Care (Date of termination 2/29/2012)
• Inpatient Rehabilitation Facility Benefits (Date of termination 11/30/2012)
• Intra Articular Hyaluronan Injections for Osteoarthritis of the Knee (Date of termination 9/30/2011)
• Intracoronary Brachytherapy (Date of termination 9/30/2011)
• Intravascular Ultrasound Imaging (IVUS) (Date of termination 9/30/2011)
• Intravenous Antibiotic Therapy for Lyme Disease (Date of termination 2/29/2012)
• Isolated Limb Perfusion (Date of termination 9/30/2011)
• Lung Volume Reduction Surgery (Date of termination 9/30/2011)
• Lymphedema Pumps-Sequential Pneumatic Compression Device (Date of termination 10/31/2011)
• Magnetoencephalography/Magnetic Source Imaging (Date of termination 9/30/2011)
• Mammoplasties (Date of termination 5/31/2012)
• Medical Photography (Date of termination 2/29/2012)
• Meniscal Allograft Transplantation (Date of termination 2/29/2012)
• Mental Health and Chemical Dependency Case Management (Date of termination 2/29/2012)
• Minimally Invasive Hip and Knee Arthroplasty (Date of termination 9/30/2011)
• Mohs Micrographic Surgery (Date of termination 9/30/2011)
• Monoclonal Antibody Imaging (Date of termination 2/29/2012)
• Non-Invasive Measurements of Cardiac Hemodynamics in the Outpatient Setting (Date of termination 9/30/2011)
• Noninvasive Respiratory Assist Devices (Date of termination 10/31/2011)
• Nonmyeloablative Allogenic Transplants of Hematopoietic Stem Cells (Date of termination 4/30/2012)
• Orthognathic Surgery (Date of termination 9/30/2011)
• Oscillatory Devices for the Treatment of Respiratory Conditions (Date of termination 10/31/2011)
• Osteochondral Grafting in the Treatment of Articular Cartilage Lesions
• Out-of-State Services (Date of termination 3/31/2013)
• Outpatient Psychotherapy (Date of termination 2/29/2012)
• Outpatient Treatment in an Intensive Outpatient Program (IOP) (Date of termination 2/29/2012)
• Oxygen (Date of termination 10/31/2011)
• Partial Hip Resurfacing (Date of termination 2/29/2012)
• Partial Hospitalization (Date of termination 02/29/2012)
• Penile Prosthesis (Date of termination 9/30/2011)
• Periurethral Bulking Agents for the Treatment of Urinary Incontinence (Date of termination 9/30/2011)
• Physical Therapy (Date of termination 2/29/2012)
• Positron Emission Tomography (PET) (Date of termination 4/30/2012)
• Pre-Admission Certification & Length of Stay (Date of termination 4/30/2012)
• Pressure Reducing Support Surfaces (Date of termination 10/31/2011)
• Private Duty Nursing (Date of termination 11/30/2012)
• Psychiatric Home Care (Date of termination 2/29/2012)
• Psychological Testing (Date of termination 2/29/2012)
• Pulmonary Hypertension, Drug Management (Date of termination 9/30/2011)
• Pulsed Irrigation of Fecal Impaction (Date of termination 9/30/2011)
• PUVA (Psoralens with Ultraviolet A) Therapy (Date of termination 2/29/2012)
• Radiofrequency Facet Joint Denervation (Date of termination 9/30/2011)
• Radiosurgery Stereotactic Approach (Date of termination 4/30/2012)
• Residential Treatment for Adolescent Psychiatric Care (Date of termination 2/29/2012)
• Residential Treatment for Chemical Dependency (Date of termination 2/29/2012)
• Routine Dental Care (Date of termination 9/30/2011)
• Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction (Date of termination 9/30/2011)
• Salivary Hormone Tests (Date of termination 2/29/2012)
• Selective Internal Radiation Therapy for Tumors of the Liver (Date of termination 9/30/2011)
• Services for Children with Special Needs: Physical Health Services (Date of termination 2/29/2012)
• Sexual Dysfunction Treatment, Female (Date of termination 4/30/2012)
• Skilled Nursing Facility Benefits (Date of termination 2/29/2012)
• Smoking Cessation Services (Date of termination 2/29/2012)
• Speech Therapy and Electronic Speech Aids (Date of termination 2/29/2012)
• Surgical Treatment of Chest Wall Deformities (Congenital or Acquired) (Date of termination 2/29/2012)
• Targeted Phototherapy for Psoriasis (Date of termination 2/29/2012)
• Tomography (CT) and Computed Tomographic Angiography (CTA) (Date of termination 4/30/2012)
• Total Hip Resurfacing (Date of termination 2/29/2012)
• Transcatheter Ablation of Arrhythmogenic Foci in the Pulmonary Vein (Date of termination 2/29/2012)
• Transcatheter Closure of Ventricular Septal Defects (Date of termination 2/29/2012)
• Transplant Coverage under the North Carolina Health Choice Program (Date of termination 1/31/2012)
• Treatment for Varicose Veins (Date of termination 9/30/2011)
• Treatment of Hyperhidrosis (Date of termination 9/30/2011)
• Tumor Markers (Date of termination 2/29/2012)
• Ultrasound Screening for Abdominal Aortic Aneurysm (Date of termination 9/30/2011)
• Vagus Nerve Stimulation (Date of termination 6/30/2012)
• Vertebroplasty and Kyphoplasty Percutaneous (Date of termination 9/30/2011)
• Vesicoureteral Reflux, Treatment with Periureteral Bulking Agents (Date of termination 2/29/2012)