DMA Clinical Policy and Programs
Phone Number 919-855-4260
Fax 919-733-2796
Local Education Agencies (LEA) enrolled with Medicaid provide treatment and assessment services to Medicaid-eligible children through a child’s Individualized Education Program (IEP). The services include audiology, speech/language, occupational therapy, physical therapy, nursing services, and psychological/counseling.
For services requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #10C, Local Education Agencies.
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
To see forms that apply to all providers, please visit our Provider Forms page.