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N C DMA Medicaid Resolution Inquiry Form Ncdhhs

N C DMA Medicaid Resolution Inquiry Form Ncdhhs

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hi I'm dr. bill Cushing and today I'd like to talk to you about the North Carolina Medicaid appeal process for denied services there are a number of medicaid services that require that a medicaid provider submit a prior approval request the North Carolina Medicaid on Form designated by North Carolina Medicaid before approval for that service can be granted the services that require prior approval have criteria that must be satisfied before North Carolina Medicaid will approve them these services and policies can be found at the North Carolina Medicaid website North Carolina typically has assigned the duty of reviewing a request to a contractor the contractor must normally act upon the request within 15 business days of receipt of the request if the request is emergent the contractor must act on the request within 2 business days occasionally the contractor will request additional information from the provider the provider will have 15 business days to respond to the request for more in

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