Skip all navigation Skip to page navigation
NC Department of Health and Human Services
NC Division of
Medical Assistance

Physician Services

DMA Clinical Policy and Programs
Phone Number 919-855-4320
Fax 919-733-2796

Physicians who meet Medicaid’s qualifications for participation and are currently enrolled with the N.C. Medicaid program are eligible to bill for medically necessary Medicaid covered procedures and services when the procedure or service is within the scope of their practice. 

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policies.

Medical Request for Prior Approval (372-118)

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.

Physician Services (CPT/HCPCS) Fee Schedules Ready NC Connect NC