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Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
DMA Clinical Policy and Programs
919-855-4260
Fax 919-733-2796
Federally Qualified Health Centers (FQHC) were added to the Medicaid program through an amendment to the Social Security Act, Section 6404 of Public Law 100-203. The FQHC law established a set of health care services for which Medicaid recipients are entitled. Medicaid FQHC services are defined as either core services or other ambulatory services.
For core service requirements, coverage criteria, and limitations, refer to Clinical Coverage Policy 1D-4, Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics.
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
