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NC Division of Medical Assistance |
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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.
The free Adobe Acrobat Reader is required to view and print these PDF files.
Please note that e-mails sent from this Web site are not secure. Information about specific individuals should not be transmitted to this Web site.
| Proposed Policy | Date Posted | Have Comments? | Comment Period End Date |
|---|---|---|---|
Proposed Clinical Coverage Policy 5C-2, Implantable Bone Conduction Hearing Aid (BAHA) Parts |
June 16, 2009 |  |
July 31, 2009 |
Proposed Clinical Coverage Policy 1A-24, Implantable Bone Conduction Hearing Aids (BAHA) |
June 16, 2009 | |
July 31, 2009 |
Pharmacy Prior Approval Criteria for the following: |
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| June 15, 2009 | |
July 30, 2009 | |
| June 15, 2009 | |
July 30, 2009 | |
| June 15, 2009 | |
July 30, 2009 | |
| June 15, 2009 | |
July 30, 2009 | |
| June 15, 2009 | |
July 30, 2009 | |
| May 29, 2009 | |
July 13, 2009 | |
Prior Authorization Criteria for Nasal Anti-inflammatory Steroids |
May 22, 2009 | |
July 7, 2009 |
Prior Authorization Criteria for Triptans |
May 22, 2009 | |
July 7, 2009 |
Prior Authorization Criteria for Brand-Name Muscle Relaxants |
May 22, 2009 | |
July 7, 2009 |
Please note that e-mails sent from this Web site are not secure. Information about specific individuals should not be transmitted to this Web site.
