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This document outlines the clinical coverage policy for inpatient behavioral health services under Medicaid and Health Choice, detailing eligibility, criteria for coverage, documentation requirements,
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How to fill out nc division of medical
How to fill out NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B
01
Obtain the latest version of the NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B.
02
Familiarize yourself with the policy guidelines and requirements outlined in the document.
03
Gather all necessary patient information, including demographics, medical history, and treatment needs.
04
Complete the required forms as specified in the policy, ensuring accuracy and completeness.
05
Include any additional documentation that supports the patient's eligibility for inpatient behavioral health services.
06
Review the submission guidelines to ensure all documents are submitted correctly.
07
Submit the completed forms and documents to the appropriate NC Division of Medical Assistance office or portal.
08
Follow up as needed to ensure the submission has been received and is being processed.
Who needs NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
01
Individuals seeking inpatient behavioral health services under the NC Division of Medical Assistance.
02
Healthcare providers, including hospitals and mental health facilities, that are providing care to patients needing these services.
03
Administrative staff responsible for managing patient documentation and insurance claims related to inpatient behavioral health services.
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People Also Ask about
What does NC Medicaid Direct cover for adults?
NC Medicaid Direct: Previously known as Medicaid Fee-For-Service, this category of care includes care management provided by Community Care of North Carolina (CCNC) for physical health services and 6 Local Management Entity/Managed Care Organizations (LME/MCOs) that coordinate services for a mental health disorder,
What is a type of inpatient care for behavioral health services?
What is Inpatient Mental Health Care? Inpatient mental health care refers to mental health services provided within a residential setting where you stay overnight in the mental health facility.
What is covered by NC Medicaid?
Personal Care Services (PCS), Medical Equipment, and Other Home Health Services. In-home care under the Community Alternatives Program (CAP) Mental Health Care. Most medically necessary services for children under age 21.
Does North Carolina allow telehealth?
In the state of North Carolina, the healthcare providers allowed to offer telehealth services include: Physicians. Physician assistants. Mental health professionals.
Does North Carolina Medicaid cover telehealth?
Telehealth through NC Medicaid Managed Care is managed by the health plans. Different health plans may have different telehealth policies, which allow more or fewer services than the other health plans. However, each health plan must offer, at minimum, the same telehealth services as NC Medicaid Direct.
What does Medicaid pay for in North Carolina?
Medicaid provides a broad level of health insurance coverage including doctor visits, hospital expenses, and nursing home care. Prescription drugs are not required to be covered by Medicaid.
What does NC Medicaid Direct cover for adults?
NC Medicaid Direct: Previously known as Medicaid Fee-For-Service, this category of care includes care management provided by Community Care of North Carolina (CCNC) for physical health services and 6 Local Management Entity/Managed Care Organizations (LME/MCOs) that coordinate services for a mental health disorder,
What is covered under NC Medicaid Direct?
NC Medicaid Direct services Assertive community treatment (ACT) Child and adolescent day treatment services. Community support team (CST) Intensive in-home services. Multi-systemic therapy services. Psychiatric residential treatment facilities (PRTFs) Psychosocial rehabilitation. Residential treatment facility services.
What is covered under NC Medicaid for adults?
NC Medicaid may help pay for certain medical expenses including: Doctor Bills. Hospital Bills. Prescriptions (Excluding prescriptions for Medicare beneficiaries) Vision Care. Dental Care. Medicare Premiums. Nursing Home Care. Personal Care Services (PCS), Medical Equipment, and Other Home Health Services.
What services are covered by NC Medicaid?
NC Medicaid may help pay for certain medical expenses including: Doctor Bills. Hospital Bills. Prescriptions (Excluding prescriptions for Medicare beneficiaries) Vision Care. Dental Care. Medicare Premiums. Nursing Home Care. Personal Care Services (PCS), Medical Equipment, and Other Home Health Services.
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What is NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B is a policy that outlines the clinical coverage criteria and guidelines for inpatient behavioral health services covered under the North Carolina Medical Assistance program.
Who is required to file NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
Providers of inpatient behavioral health services who seek reimbursement for services rendered under the North Carolina Medical Assistance program are required to adhere to and file according to Clinical Coverage Policy No: 8-B.
How to fill out NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
To fill out NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B, providers should follow the specified guidelines included in the policy, ensuring to document all relevant patient information, service details, and clinical justifications as required.
What is the purpose of NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
The purpose of NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B is to establish clear clinical criteria for coverage of inpatient behavioral health services, ensuring that these services are necessary and meet the standards for reimbursement.
What information must be reported on NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B?
Information that must be reported on NC Division of Medical Assistance Inpatient Behavioral Health Services Clinical Coverage Policy No: 8-B includes patient demographic details, diagnosis, treatment plans, service dates, and clinical justification for inpatient treatment.
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