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NC · guidance

N.C. Medicaid Clinical Coverage Policy No. 3D § 5.1

Prior Approval

activein force · 2024-03-15 – presentcompiled-edition

Medicaid hospice services require prior approval request but do not require clinical review

for Hospice service until after the first (1st) and second (2nd)) benefit periods. Request for

Hospice service beginning with the third (3rd) and for each subsequent benefit periods

must receive prior approval and clinical review. PA request must be submitted online

through the NCTracks Provider Portal.

Provenance

Source
medicaid.ncdhhs.gov
Retrieved
2026-10-01
Edition
ccp-3d-2024-03-15
Content hash
ef0ac7ee1a68c37cf7db622a5f4a43476b67a599e82976124ca325d92dfdceec
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