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NC Department of Health and Human Services
NC Division of
Medical Assistance

Independent Practitioner Services

DMA Clinical Policy and Programs
Phone Number 919-855-4260
Fax 919-733-2796

Independent Practitioner Services provide assessments and treatments from the following disciplines:

  • Audiology
  • Speech/Language
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Therapy

For service requirements, coverage criteria, and limitations, refer to

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.


To see forms that apply to all providers, please visit our Provider Forms page.

Independent Practitioners Fee Schedules

Multiple Independent Practitioners (CPT/HCPCS)

Occupational Therapy (CPT/HCPCS)

Physical Therapy (CPT/HCPCS)

Respiratory Therapy (CPT/HCPCS)

Speech Therapy & Audiology (CPT/HCPCS)





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