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Alliance members impacted by the launch of the Child and Families Specialty Plan (CFSP) are invited to get more information by contacting Healthy Blue Care Together (HBCT) at 844-594-5072 or [email protected], or by contacting the NC Medicaid Ombudsman at 1-877-201-3750.

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Home / Services / Non Medicaid: Psychological Testing

Non Medicaid: Psychological Testing

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About

Coverage Information Icon

Non-Medicaid (State)

Diagnosis Group(s) Information Icon

Assessment Only, Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

Adults 18+, Child

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)

Authorization Duration and Limits Information Icon

  • Up to 1 unit of 96130 and 5 units 96131 annually
  • Available only when previous testing information needed for eligibility determination cannot be located

SNAP Information Icon

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Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • 96130 Psychological testing evaluation
  • 96136 Psychological or Neuropsychological test administration first 30 minutes
  • 96146 Automated instrument psych/neuro test administration

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/media/10107/open">Download PDF</a>
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