Document Category: Family and Children’s Medicaid
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DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 1, FRR/BEER – OBSOLETE
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DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For EPICS Referrals
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DMA ADMINISTRATIVE LETTER NO. 18-01, NC Health Choice Cases With EIS Cert. Periods That Do Not Match The BCBS 12 Month Coverage Periods
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DMA ADMINISTRATIVE LETTER NO. 27-01, Subscription To Medicaid Eligibility Manuals
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MA-3560 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATION
2023 – 2024 County Internal Inspection Schedule
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MA-3535 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES
I. PURPOSE II. LEGAL RESPONSIBILITY AND REFERENCES III. NORTH CAROLINA GENERAL STATUTES IV. FRAUD VS. MISREPRESENTATION V. PREVENTION VI. DETECTION VII. INVESTIGATIONS VIII. CALCULATING OVERPAYMENTS IX. NORTH CAROLINA HEALTH CHOICE OVERPAYMENTS X. CONCLUSIONS AND RECOMMENDATIONS XI. NOTICES & APPEALS XII. ADMINISTRATIVE COLLECTION PROCEDURES XIII. BANKRUPTCY XIV. DISTRIBUTION OF CASH REPAYMENT XV. EPICS REPORTING REQUIREMENTS XVI.…
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MA-3540 MEDICAID COVERED SERVICES
I. INTRODUCTION II. POLICY PRINCIPLES III. PHYSICIAN SERVICES IV. CLINIC SERVICES V. HOSPITAL INPATIENT SERVICES VI. HOSPITAL OUTPATIENT SERVICES VII. NURSING FACILITY SERVICES VIII. PSYCHIATRIC AND PSYCHOLOGICAL SERVICES IX. RESIDENTIAL SERVICES X. MENTAL HEALTH CENTERS XI. STATE AND PRIVATE MENTAL HOSPITALS XII. NORTH CAROLINA SPECIALTY HOSPITALS XIII. DENTAL SERVICES XIV. CHIROPRACTORS XV. PODIATRISTS XVI. HOSPICE…
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MA-3550 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)
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MA-3560 2023 – 2024 COUNTY INTERNAL INSPECTION SCHEDULE
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MA-3530 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS
I. INTRODUCTION II. REQUIREMENTS III. PROCEDURES IV. FINANCIAL RESPONSIBILITY Medicaid Procedures for Requesting Corrections – DSS Support Unit