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Medicaid and Health Choice Providers

Service specific information for North Carolina Medicaid providers. Please select the program or service from the menu below and click GO.

SELECT PROGRAM OR SERVICE Adult Care Homes Ambulance Services Ambulatory Surgical Center Services Anesthesia Services Baby Love Behavioral Health Services ...CAP/MR-DD ...Early Intervention Services (through CDSAs) ...Enhanced Behavioral Health Services (CIS) ...Inpatient Behavioral Health Services ...Outpatient Behavioral Health Services ...Piedmont Cardinal Health Plan Waiver ...Psychiatric Residential Treatment Facility (PRTF) Services ...Residential Treatment Facility Services ...School-Based Psychological Services ...Targeted Case Management for MR/DD Be Smart Medicaid Family Planning Waiver Case Management - Adults and Children At-Risk of Abuse, Neglect, or Exploitation Child Service Coordination Chiropractic Services Community Alternatives Program (CAP) ...CAP/C ...CAP/Choice ...CAP/DA ...CAP/MR-DD Dental and Orthodontic Services Durable Medical Equipment (DME) End-Stage Renal Disease Services Federally Qualified Health Centers (FQHC) Health Check Health Departments Hearing Aids HIV Case Management Home Health Services Home Infusion Therapy (HIT) Hospice Services Hospital Services ICF/MR Independent Practitioner Services Laboratory Services Local Education Agencies (LEA) Medicare Part D Money Follows the Person Nursing Facilities OB/GYN Services Optical Services and Visual Aids Orthotics and Prosthetics Outpatient Specialized Therapies ...Early Intervention Services (through CDSAs) ...Health Departments ...Home Health Services ...Independent Practitioner Services ...Local Education Agencies (LEA) ...Outpatient Hospital Services ...Physician Services Personal Care Services (PCS) PCS-Plus Pharmacy Physicians Drug Program Physician Services ...Anesthesia Services ...OB/GYN Services ...Podiatry Services Private Duty Nursing (PDN) Program of All Inclusive Care for the Elderly (PACE) Radiology Services Rural Health Clinics

Announcements

The Claims web page has been updated. Links to information on annual visit limits, recipient eligibility verification, third party insurance, and billing can now be accessed from the Claims web page.

What's New

• November 2009 Medicaid Bulletin
• October 2009 Pharmacy Newsletter
• September 2009, Basic Medicaid Billing Guide

Hot Topics

• Community Support
• DMA Budget Initiatives
• Local Management Entities Utilization Management
• Medicaid Integrity Program Provider Audit
• NC PASARR Online System
• NC DHHS Contract Award to CSC for the Replacement MMIS
• New Enhanced Specialty Discount on Single-Source Specialty Drugs
• Outpatient Pharmacy Program
• Payment Error Rate Management (PERM)
• Prior Authorization Criteria for Medications Covered by Medicaid
• Tamper-Resistant Prescription Pads