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

Psychiatric Residential Treatment Facilities

DMA Clinical Policy and Programs
Phone Number (919) 855-4290
Fax (919) 715-9451

Psychiatric Residential Treatment Facilities (PRTF) provide non-acute inpatient facility care for recipients who have a mental illness and/or substance abuse/dependency and need 24-hour supervision and specialized interventions.

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #8D-1, Psychiatric Residential Treatment Facilities

Additional information about Enhanced Mental Health Services is available in the July 2006 Special Bulletin, Authorization and Utilization Review for Behavioral Health Services

Information about Inpatient Behavioral Health Services is available in Clinical Coverage Policy #8B, Inpatient Behavioral Health Services

Admission Form for Recipients Under the Age of 21

Certification of Need:  Medicaid PRTF Services for under Age 21

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.