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North Carolina - Billing Opportunities Summary
Max Anderegg avatar
Written by Max Anderegg
Updated over 7 months ago

Under a State Plan Amendment effective January 1, 2018 pharmacists have been authorized to enroll as providers under North Carolina Medicaid under the provider specialty clinical pharmacists practitioners (CPP). Today, North Carolina pharmacists are authorized to bill for a wide range of services for the over 2.3M medicaid patients in the state.

Authorized services include the following:

Consultative Services (do not required CPA)

  • E&M

  • Diabetes self-management & Education (DSME)

  • Continuous glucose monitoring (CGM)Telehealth Services

  • Vaccine administration

  • Remote Therapeutic Monitoring (RTM)

  • Immunizations

Prescriptive Authority Services (require CPA)

Note: Protocol links embedded in list above

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