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NC Division of Medical Assistance |
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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
Outpatient behavioral health services include assessment, treatment, (individual medical evaluation and management, including medication management, individual and group therapy, behavioral health counseling), family therapy, and psychological testing for recipients of all ages.
For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #8C, Outpatient Behavioral Health Services Provided by Direct-Enrolled Providers.
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.
