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

Proposed Medicaid Clinical Coverage Policies

NCGS §108A-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 Web site 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 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.

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Proposed Policy Date Posted Have Comments? Comment Period End Date
Proposed 1B-1 Botulinum Toxin Treatment February 3, 2012 Send DMA your thoughts March 24, 2012
Proposed 1S-3, Laboratory Services February 3, 2012 Send DMA your thoughts  
Proposed 5A, Medical Equipment and Supplies January 31, 2012 Send DMA your thoughts February 15, 2012
Proposed 1D-4, Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics January 24, 2012 Send DMA your thoughts March 9, 2012
Proposed 1G-1, Burn Treatment January 24, 2012 Send DMA your thoughts March 9, 2012
Proposed 9, Outpatient Pharmacy Program January 5, 2012 Send DMA your thoughts February 19, 2012
Proposed 1A-8, Hyperbaric Oxygen Therapy December 28, 2011 Send DMA your thoughts February 11, 2012