DMA Proposes Changes to Acute Inpatient Hospital Service Clinical Coverage Policy

The NC Division of Medical Assistance (DMA) has proposed several changes to its Acute Inpatient Hospital Service Clinical Coverage Policy and to several of its prior approval policies and criteria. Among others, Policy 2A-1. Acute Inpatient Hospital Services includes proposed changes for reimbursement of behavioral health services provided to patients awaiting an inpatient psychiatric bed when they are admitted as inpatients. For more details, see the attached NCHA Regulatory Report.