10A NCAC 25C .0201. MENTAL HEALTH CENTER SERVICES

(a)  Psychiatric testing at a mental health center shall be covered only when the center has individualized treatment plans and goals for the patient.  Payment shall be made only if the testing is medically necessary.

(b)  Mental health centers providing active treatment for psychiatric or medical illness occurring in the mentally retarded shall be covered for such treatment.

(c)  There must be a current diagnosis, treatment plan, and specific goals for each patient.  The visit must be medically necessary.

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 42 C.F.R. 440.70;

Eff. February 1, 1976;

Amended Eff. September 30, 1977;

Readopted Eff. October 31, 1977;

Amended Eff. January 1, 1984; December 1, 1981;

Transferred from 10A NCAC 22O .0107 Eff. May 1, 2012.