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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
Phone Number (919) 855-4260
Fax (919) 733-2796
Outpatient Specialized Therapies include evaluations, re-evaluations, and/or multidisciplinary evaluations as well as therapeutic physical, occupational, speech, respiratory, and audiologic services provided by all provider types and in all settings except hospital/rehabilitation inpatient settings.
For service requirements, coverage criteria, and limitations, refer to Clinical Coverage Policy #10A, Outpatient Specialized Therapies.
Information about budget initiatives affecting Oupatient Specialized Therapy services is available on the Budget Initiatives web page.
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
For information specific to the provision of service and the service setting, refer to:
