NC · guidance
N.C. Medicaid Clinical Coverage Policy No. 3D § 3.1
General Criteria Covered
Medicaid shall cover the procedure, product, or service related to this policy when
medically necessary, and:
a. the procedure, product, or service is individualized, specific, and consistent with
symptoms or confirmed diagnosis of the illness or injury under treatment, and not in
excess of the beneficiary’s needs.
b. the procedure, product, or service can be safely furnished, and no equally effective
and more conservative or less costly treatment is available statewide; and
c. the procedure, product, or service is furnished in a manner not primarily intended for
the convenience of the beneficiary, the beneficiary’s caretaker, or the provider.
Provenance
- Source
- medicaid.ncdhhs.gov
- Retrieved
- 2026-10-01
- Edition
- ccp-3d-2024-03-15
- Content hash
18c2afb13e92febfe5a7c3311180f2e77936a898dd2f0647fe9b767f51c8ce1d
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