№ files_lp_4_process_2_44291
Comprehensive policy outlining the criteria for Medicaid individual and transitional support services, including documentation, eligibility, and review requirements for healthcare providers and Medicaid administrators.
Year: 1915
Region/City: North Carolina
Subject: Medicaid Clinical Coverage Policy
Document Type: Clinical Coverage Policy
Organization: North Carolina Medicaid
Author: Not specified
Target Audience: Healthcare providers, Medicaid administrators
Effective Period: Ongoing
Approval Date: Not specified
Amendment Date: Not specified
Funding Source: Medicaid
Service Codes: 1915(i) T1019 U4 (EVV), 1915(i) T1019 (U4) (TS)
Eligibility Criteria: Tailored Plan or Prepaid Inpatient Health Plan (PIHP)
Clinical Evaluation: Independent 1915(i) assessment required
Review Criteria: Service orders, member signature, care plan completion, eligibility confirmation
Documentation Requirements: Service order, clinical justification, eligibility list, independent assessment
Price: 8 / 10 USD
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