Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
Phone - (919) 855-4260
Fax - (919) 733-2796
The N.C. Medicaid program structures benefits available to Medicaid clients in a manner that promotes access to medically necessary and cost-effective care.
To see provider information specific to your provider program or service type, visit your program or service page from the alphabetical listing.
Be Smart Family Planning Waiver Program
Case Management Services for Adults and Children At-Risk of Abuse, Neglect, or Exploitation
Children’s Development Service Agencies
Child Service Coordination Program (CSCP)
Community Alternatives Program (CAP)
Dental and Orthodontic Services
Durable Medical Equipment (DME)
Early Intervention Services (through Children’s Developmental Service Agencies)
End-Stage Renal Disease Services
Enhanced Behavioral Health Services (Community Intervention Services)
Federally Qualified Health Centers
Independent Practioner Services
Inpatient Behavioral Health Services
Intermediate Care Facilities for Individuals with Mental Retardation (ICF/MR)
Money Follows the Person (MFP)
Outpatient Behavioral Health Services
Outpatient Specialized Therapies
Program of All-inclusive Care for the Elderly (PACE)
Psychiatric Residential Treatment Facility
Residential Treatment Facility
School-Based Psychiatric Services
Residential Treatment Facility
Targeted Care Management for Mentally Retarded/Developmentally Disabled Individuals