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Physician Services

DMA Clinical Policy and Programs
Phone Number 919-855-4320
Fax 919-733-2796

Physicians who meet Medicaid’s qualifications for participation and are currently enrolled with the N.C. Medicaid program are eligible to bill for medically necessary Medicaid covered procedures and services when the procedure or service is within the scope of their practice. 

• Anesthesia Services
• OB/GYN Services
• Physicians Drug Program
• Podiatry
• Physician Fluoride Varnish Services
  • Into the Mouths of Babes Program
  • Clinical Coverage Policy 1A-23, Physician Fluoride Varnish Services

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policies.

Prior Approval Form for Surgical Procedures (372-118)

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.

• Index of Articles for Physicians
• Index of All Bulletins
• All Bulletins by Date

Physician Services (CPT/HCPCS) Fee Schedules

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