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

Proposed Medicaid and N.C. Health Choice
Clinical Coverage Policies

NCGS ┬ž108A-54.2 requires that the Department of Health and Human Services consult with and seek the advice of the North Carolina Physician Advisory Group External link and other professional societies and organizations in developing new or amended Medicaid clinical coverage policies. Additionally, the law requires the Department to publish proposed new and amended clinical coverage policies on the Department's website and accept oral and written comments. All consultations and comments are considered. The Department has delegated to the DMA Division Director the authority to make the final decisions regarding clinical coverage policies.

The following proposed new or amended Medicaid and N.C. Health Choice clinical coverage policies are available for review. Comments on proposed polices may be submitted by clicking the envelope next to each proposed policy. Comments and questions not specifically related to the proposed policy should not be sent to this Web address. The initial comment period for each proposed policy is 45 days. An additional 15-day comment period follows if a proposed policy is substantively revised as a result of the initial comment period. If the adoption of a new or amended medical coverage policy is necessitated by an act of the General Assembly or a change in federal law, then the 45 and 15-day time periods shall instead be 30 and 10-day time periods.

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Proposed Policy Date Posted Have Comments? Comment Period End Date
10A, Outpatient Specialized Therapies April 10, 2014 Send DMA your thoughts May 10, 2014
1N-1 Allergy Testing March 10, 2014 Send DMA your thoughts April 24, 2014
1N-2, Allergy Immunotherapy March 10, 2014 Send DMA your thoughts April 24, 2014

The NC Physician Advisory Group has recommended that the proposed policies listed below be terminated.
Proposed Policy Date Posted Have Comments? Comment Period End Date