Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
How to establish an Ambulatory Surgical Facility from the NC Division of Health Service Regulation
DMA Clinical Policy and Programs
Phone Number 919-855-4260
Fax 919-733-2796
An Ambulatory Surgical Center, or ASC, is any distinct entity that operates exclusively for the purpose of providing surgical services to recipients not requiring hospitalization.
Updates to the list of procedures that are covered when provided in an ASC are published in the general Medicaid bulletin. The list of approved procedures is based on the list of procedure codes published in the Code of Federal Regulations (42 CFR 416).
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.