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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Proposed Medicaid Clinical Coverage Policies

NCGS §108A-54.2 requires that the Department of Health and Human Services consult with and seek the advice of the North Carolina Physician Advisory Group External link and other professional societies and organizations in developing new or amended Medicaid clinical coverage policies. Additionally, the law requires the Department to publish proposed new and amended clinical coverage policies on the Department's Web site and accept oral and written comments. All consultations and comments are considered. The Department has delegated to the DMA Division Director the authority to make the final decisions regarding clinical coverage policies.

The following proposed new or amended Medicaid clinical coverage policies are available for review. Comments on proposed polices may be submitted by clicking the envelope next to each proposed policy. Comments and questions not specifically related to the proposed policy should not be sent to this Web address. The initial comment period for each proposed policy is 45 days. An additional 15-day comment period follows if a proposed policy is substantively revised as a result of the initial comment period.

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Proposed Policy Date Posted Have Comments? Comment Period End Date
2012 Health Check Billing Guide May 14, 2012 Send DMA your thoughts June 28, 2012
5A, Durable Medical Equipment and Supplies May 11, 2012 Send DMA your thoughts May 26, 2012
3D, Hospice Services May 4, 2012 Send DMA your thoughts June 18, 2012
3G, Private Duty Nursing May 4, 2012 Send DMA your thoughts June 18, 2012
1R-4, Electrocardiography, Echocardiography, and Intravascular Ultrasound April 19, 2012 Send DMA your thoughts June 3, 2012
1A-33, Vagus Nerve Stimulation for the Treatment of Seizures April 18, 2012 Send DMA your thoughts June 2, 2012
3A, Home Health Services April 4, 2012 Send DMA your thoughts May 26, 2012

The NC Physician Advisory Group has recommended that the proposed policies listed below be terminated, however some will be covered under new or revised Medicaid Clinical Coverage Policies.
Proposed Policy Date Posted Have Comments? Comment Period End Date
Currently no policies posted in this category.