Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
Division of State Operated Healthcare Facilities
Phone Number 919-855-4260
Fax 919-733-2796
The N.C. Medicaid Program structures benefits available to Medicaid clients in a manner that promotes access to medically necessary and cost-effective care.
To see provider information specific to your provider program or service type, visit your program or service page from the alphabetical listing.
Baby Love (Maternal Support Services)
Be Smart Family Planning Waiver Program
Case Management Services for Adults and Children At-Risk of Abuse, Neglect, or Exploitation
Children’s Development Service Agencies
Care Coordination for Children (CC4C) (formerly Child Service Coordination Program)
Community Alternatives Program (CAP)
Critical Access Behavioral Health Agency (CABHA)
Dental and Orthodontic Services
Durable Medical Equipment (DME)
Early Intervention Services (through Children’s Developmental Service Agencies)
End-Stage Renal Disease Services
Federally Qualified Health Centers
Independent Practitioner Services
Intermediate Care Facilities for Individuals with Mental Retardation (ICF/MR)
MH/DD/SAS Health Plan Waiver Services (formerly Piedmont Cardinal Health Plan)
Money Follows the Person (MFP)
Outpatient Behavioral Health Services
Outpatient Specialized Therapies
Program of All-inclusive Care for the Elderly (PACE)
Psychiatric Residential Treatment Facility
School-Based Psychiatric Services
Residential Treatment Facility
Targeted Case Management for Individuals with Intellectual and Developmental Disabilities