Nc medicaid outpatient pharmacy services
[DOCX File]How Managed Care Works - NC
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Mar 08, 2019 · A health care professional or a facility that delivers health care services, like a doctor, hospital or pharmacy. ... a contract with the North Carolina Department of Health and Human Services to meet the health care needs of people with North Carolina Medicaid. In turn, we partner with a group of health care providers to help us meet your ...
Program Integrity Update
The North Carolina General Assembly has appropriated $1,000,000 for fiscal year 2015-2016 and $2,000,000 for fiscal year 2016-2017 to fund the TBI Medicaid Waiver based on the recommendations from the Joint Legislative Oversight Committee on Health and Human Services.
[DOCX File]138_REVISED_QAPI_Performance_Improvement_Projects_Outcomes ...
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Appendix C – NC Medicaid Managed Care PHP Regions. Appendix D – NC Counties with Region and Urban/Rural Designation ... Pharmacy access. include only the following types of providers in developing the maps and tables. Pharmacies. ... Outpatient behavioral health services provided by direct-enrolled providers (adults and children)
[DOC File]APPENDIX - NC
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Include in the patient’s MAP file proof of the health insurance policy’s limitations on outpatient visits and use of that benefit for the year. Call the North Carolina Office of Rural Health and Community Care (NC ORHCC) at (919) 527-6475 and asked to speak to Stanley …
[DOCX File]www.ncleg.gov
https://info.5y1.org/nc-medicaid-outpatient-pharmacy-services_1_d870f4.html
Sec. 11H.21 of S.L. 2017-57 codifies a requirement that the Department of Health and Human Services must report annually to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice with certain data related to the timeliness of Medicaid eligibility determinations made by the county departments of social services.
[DOC File]reports.oah.state.nc.us
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10a ncac 22o .0113 nc medicaid criteria for continued acute stay in an inpatient psychiatric facility (transferred to 10a ncac 25c .0302) 10a ncac 22o .0114 north carolina specialty hospital services (transferred to 25m .0201(e)) 10a ncac 22o .0115 clinic services (transferred to 10a ncac 25p .0402)
[DOCX File]Behavioral Interventions for Comorbid PTSD ...
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Effective Sept. 1, 2020, NC Medicaid will begin reimbursing COVID-19 testing costs for uninsured individuals enrolled in the NC Medicaid Optional COVID-19 Testing (MCV) program. For more information on eligibility, please click here. Applications are available in both English & Spanish.
[DOC File]Service Records Manual - NC
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BASIC BENEFITS - Traditional behavioral health services under the Medicaid State Plan, including physician services, often referred to as outpatient treatment or medication management services, which include those services covered in Medicaid’s Clinical Coverage Policy 8C – Outpatient Behavioral Health Services Provided by Direct Enrolled ...
SOME OF THE RESOURCES AVAILABLE .us
Davidson County Adult Protective Services. 913 Greensboro Street, Lexington, NC 27293. Phone: (336) 242-2760 – Lexington (336) 474-2760 – Thomasville
[DOCX File]How Managed Care Works
https://info.5y1.org/nc-medicaid-outpatient-pharmacy-services_1_7f740c.html
May 31, 2019 · The Medicaid Managed Care Ombudsman Program is a resource you can contact if you need help with your health care needs. The Ombudsman Program is an independently operated, nonprofit organization whose only job is to ensure that individuals and families who receive North Carolina Medicaid and NC Health Choice get access to the care that they need.
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