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 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 |
|---|---|---|---|
| Proposed Clinical Coverage Policy for Case Management Coverage | January 27, 2010 | ![]() |
February 26, 2010 |
| Proposed Amendment to Clinical Policy 8A:Community Support Case Management | January 25, 2010 | ![]() |
February 24, 2010 |
| Proposed Addition to Clinical Policy 8A:Peer Support Services MH/SA | January 25, 2010 | ![]() |
February 24, 2010 |
| Proposed Clinical Coverage Policy for CAP/MR-DD Comparison of Waiver Clinical Policy Section 5 and 2008 CAP-MR/DD Comprehensive Manual Appendix P |
January 25, 2010 | ![]() |
March 11, 2010 |
| Proposed Clinical Coverage Policy for Respiratory Therapy Services | December 29, 2009 | ![]() |
February 12, 2010 |