nutritional issues. These children may benefit from hospital will be reimbursed for bariatric surgical services intense nutritional counseling in combination with for Medicaid Fee for Service and managed care mental health and family counseling support. beneficiaries. Other obesity services outside of mandated EPSDT services are not explicitly mentioned. NORTH CAROLINA Department of Health and Social Services Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery Adults: The following is a list of services not covered by Prior authorization required. Not explicitly mentioned Medicaid or NCHC when billed under the Outpatient CPT Codes: 96150-96151, 99404, 99412, 97802-97803 Pharmacy Program: NC Medicaid (Medicaid) recipients shall be enrolled on Weight loss and weight gain the date of service and may have service restrictions due to their eligibility category that would make them Obesity services outside of mandated EPSDT services ineligible for this service. are not explicitly mentioned. NC Health Choice (NCHC) recipients, ages 6 through 18 years of age, shall be enrolled on the date of service to be eligible, and shall meet policy coverage criteria, unless otherwise specified.
nutritional issues. These children may benefit from intense nutritional counseling in combination with mental health and family counseling support. Other obesity services outside of mandated EPSDT services are not explicitly mentioned. hospital will be reimbursed for bariatric surgical services for Medicaid Fee for Service and managed care beneficiaries. NORTH CAROLINA Department of Health and Social Services Nutritional Assessment/Counseling Pharmaceutical Therapy Bariatric Surgery Adults: Not explicitly mentioned CPT Codes: 96150-96151, 99404, 99412, 97802-97803 Obesity services outside of mandated EPSDT services are not explicitly mentioned. The following is a list of services not covered by Medicaid or NCHC when billed under the Outpatient Pharmacy Program: Weight loss and weight gain Prior authorization required. NC Medicaid (Medicaid) recipients shall be enrolled on the date of service and may have service restrictions due to their eligibility category that would make them ineligible for this service. NC Health Choice (NCHC) recipients, ages 6 through 18 years of age, shall be enrolled on the date of service to be eligible, and shall meet policy coverage criteria, unless otherwise specified.