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NCDHHS Policies and Manuals  >  Health Benefits/NC Medicaid

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
XVII. DURABLE MEDICAL EQUIPMENT (DME)
XVIII. HOME HEALTH SERVICES
XIX. IN-HOME CARE FOR ADULTS (IHCA) AND IN-HOME CARE FOR CHILDREN (IHCC).
XX. HOME INFUSION THERAPY (HIT)
XXI. PRIVATE DUTY NURSING (PDN)
XXII. PRESCRIPTION DRUGS

Document Category: Health Benefits/NC Medicaid

  • 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…

  • MA-3550 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)

  • MA-3560 2023 – 2024 COUNTY INTERNAL INSPECTION SCHEDULE

  • MA-3510 THIRD PARTY RECOVERY

    I. POLICY RULES II. PROCEDURES III. TYPES OF THIRD PARTY RESOURCES IV. INTERVIEW QUESTIONS FOR DETERMINING TYPES OF THIRD PARTY RESOURCES V. MEDICAID AS PAYER OF LAST RESORT OR AS PRIMARY PAYER VI. THIRD PARTY RECOVERY NON COMPLIANCE VII. THIRD PARTY INSURANCE FOR NCHC AND BCCM Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)

  • MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURES

    I. INTRODUCTION II. POLICY PRINCIPLES III. MATCHES REQUIRED BY IEVS IV. OTHER MATCHES V. FRR RESOURCE TYPES AND DESCRIPTIONS

  • MA-3520 AUTOMATED SOLQ PROCEDURES

    I. INTRODUCTION II. BENEFIT VERIFICATION III. MANUAL VERIFICATION OF BENEFITS IV. THE SOLQ/TPQY SYSTEM V. DOCUMENTATION

  • MA-3525 MEDICARE ENROLLMENT & BUY-IN

    I. INTRODUCTION II. WHO IS ENTITLED TO MEDICARE? III. POLICY PRINCIPLES IV. OVERVIEW OF MEDICARE COVERAGE V. OVERVIEW OF MEDICARE BUY-IN VI. EFFECTIVE DATE OF BUY-IN COVERAGE VII. RECIPIENT ENROLLMENT IN BUY-IN VIII. COUNTY RESPONSIBILITY TO ASSIST WITH MEDICARE APPLICATION IX. CHARGEBACKS FOR COUNTY ERRORS X. PROCEDURES FOR ALIENS XI. INFORMATIONAL MATERIALS SENT TO COUNTIES…

  • MA-3505 MEDICAID IDENTIFICATION CARD

    I. Introduction II. PROCEDURES

  • MA-3421 MAGI RECERTIFICATION

    DHB ADMINISTRATIVE LETTER NO: 01-23, CHANGES IN INCOME DURING BASE PERIOD FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) APPLICATIONS AND RECERTIFICATIONS DHB ADMINISTRATIVE LETTER NO: 04-23, MEDICAID PROCEDURES USING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) INCOME DURING THE CONTINUOUS COVERAGE UNWINDING (CCU) PERIOD DHB ADMINISTRATIVE LETTER NO: 05-23, UNITED STATES POSTAL SERVICES (USPS) NATIONAL CHANGE OF ADDRESS…

  • MA-3425 CERTIFICATION AND AUTHORIZATION

    I. POLICY RULES II. LENGTH OF CERTIFICATION PERIODS FOR CASES OTHER THAN MPW AND NEWBORN PROTECTION CASES (For MPW and newborn protection cases, see III., below.) III. LENGTH OF C.P.’S FOR MPW AND NEWBORN CASES IV. SPECIAL SITUATIONS V. PRE-NEED APPLICATIONS VI. REDETERMINATION/REVIEW VII. AUTHORIZATION DMA Administrative Letter NO:04-15, Certification Period