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NC Department of Health and Human Services
NC Division of
Medical Assistance

Orthotics and Prosthetics

DMA Clinical Policy and Programs
Phone Number 919-855-4310
Fax 919-715-9451

Orthotic and prosthetic devices are purchased for recipients when they are prescribed by the patient’s treating physician, physician’s assistant, or nurse practitioner and medical necessity is documented.  An item is medically necessary if it is needed to maintain or improve a recipient’s medical, physical or functional level.  Orthotic and prosthetic devices purchased by Medicaid become the property of the Medicaid recipient.

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #5B, Orthotics and Prosthetics.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

Orthotics and Prosthetics Forms

To see forms that apply to all providers, please visit our Provider Forms page.

Orthotics and Prosthetics Fee Schedules Ready NC Connect NC
February 18, 2011