NC · guidance
N.C. Medicaid Clinical Coverage Policy No. 3D § 4.1
General Criteria Not Covered
Medicaid shall not cover the procedure, product, or service related to this policy when:
a. the beneficiary does not meet the eligibility requirements listed in Section 2.0;
b. the beneficiary does not meet the criteria listed in Section 3.0;
c. the procedure, product, or service duplicates another provider’s procedure, product, or
service; or
d. the procedure, product, or service is experimental, investigational, or part of a clinical
trial.
Provenance
- Source
- medicaid.ncdhhs.gov
- Retrieved
- 2026-10-01
- Edition
- ccp-3d-2024-03-15
- Content hash
206a5fa6ff0992d215cda148eeb9da73030d1445c793098b3202f42f663b685f
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