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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for or for providers.

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Medicaid C: Specialized Consultative Services (SCS)

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About

Coverage Information Icon

Medicaid C

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

All, Adult, Child, 18-20

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR) and other required supporting documents to be submitted by Care Navigator

Service Codes & Descriptions

  • T2025 - Specialized Consultative Services
  • T2025 22 HT - Specialized Consultative BCBA LIP
  • T2025 22 HT GT CR- Specialized Consultative BCBA LIP
  • T2025 GT CR- Specialized Consultative Service
  • T2025HO - Specialized Consultative Services, BCBA
  • T2025HT - Specialized Consultative Svc. LIP

Service Description

  • Provides family caregivers and staff with training and technical assistance in a specialty area such as psychology, occupational therapy, physical therapy or nutrition
  • Allows for physical therapy, occupational therapy, and speech therapy evaluations for equipment when State Plan service limits have been exhausted
  • Helps family caregivers learn how to use specialized equipment such as assistive technology, home modifications and van modifications

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8-p-north-carolina-innovations/download?attachment">Download PDF</a>
<a target="_blank" href="https://medicaid.ncdhhs.gov/media/7597/download">Download PDF</a>