Review resources, like service definitions and benefit grids used to manage behavioral health services.
The official posting of mental health, substance use disorder, and intellectual and developmental disability service definitions are found within the various clinical coverage policies published by the NC Division of Medical Assistance. These definitions are located on DMA’s Clinical Coverage Policy web page, which includes, but is not limited to, the following clinical coverage policies:
Partners has adopted Clinical Practice Guidelines from the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry. Providers are responsible for following the Clinical Practice Guidelines adopted by Partners.
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a federal Medicaid requirement. The NC Division of Medical Assistance (DMA) is required to cover services, products, or procedures for Medicaid beneficiaries under 21 years of age if the service is medically necessary health care to correct or […]
Evidence-Based Practices are interventions, treatments, and programs that have proved effective in producing specific positive outcomes. These methods have been studied and are confirmed to produce positive changes in individuals.