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Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
DMA Clinical Policy and Programs
Phone Number (919) 855-4290
Fax (919) 715-9451
Inpatient behavioral health services provide hospital treatment in a hospital setting 24 hours a day. Supportive nursing and medical care are provided under the supervision of a psychiatrist or a physician. This service is designed to provide continuous treatment for recipients with acute psychiatric or substance abuse problems.
For service requirements, coverage criteria and limitations refer to Clinical Coverage Policy #8B, Inpatient Behavioral Health Services
Additional information about Enhanced Behavioral Health Services is available in the July 2006 Special Bulletin, Authorization and Utilization Review for Behavioral Health Services
Recipients under the age of 21 can also receive inpatient services from a Psychiatric Residential Treatment Facility or a Residential Treatment Facility.
To see forms that apply to all providers, please visit our Provider Forms page.
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
