NC · guidance
N.C. Medicaid Clinical Coverage Policy No. 3D § 5.2.2.3
Nursing Facility
Nursing facility or ICF-IID long-term care approval is required for a
beneficiary residing in or entering the facility. Nursing facility or ICF-IID
approval is determined by the DHHS fiscal contractor. The hospice
provider shall obtain a copy of the approval form (FL-2) or (IID-2) as
applicable, to ensure compliance with this guideline. Nursing facility or
ICF/IID room and board reimbursement cannot be made to the hospice
provider without this approval.
Note: Hospice agencies verify Nursing facility or ICF-IID long-term care
approval in NC Tracks to ensure the approval was obtained prior to
seeking reimbursement. Hospice providers should provide documentation
referencing place of origin verifying the FL-2 or IID-2 in beneficiary
medical records.
Provenance
- Source
- medicaid.ncdhhs.gov
- Retrieved
- 2026-10-01
- Edition
- ccp-3d-2024-03-15
- Content hash
a688ac03347069eecdb0a20dc9f7f7850e3546dddb7e17fabdc9e6a75ac17ff3
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