Chapter 25 – medical assistance provided
SUbchapter 25A – general
section .0100 – reserved for future codification
10A NCAC 25A .0100 reserved for future codification
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.