section .0200 – Medical Services

10A NCAC 25A .0201      MEDICAL SERVICES

Pursuant to the State Plan, all medical services performed shall be medically necessary and may not be experimental in nature. Medical necessity shall be determined by generally accepted North Carolina community practice standards as verified by independent Medicaid consultants.

History Note:        Authority G.S. 108A‑25(b); 108A-54; 108A-54.1B; 42 C.F.R. 440.230(d);

Eff. March 1, 1990;

Transferred from 10A NCAC 22O .0301 Eff. May 1, 2012;

Readopted Eff. June 1, 2019.