Medically Necessary or Medical Necessity. Medical necessity is determined by generally accepted North Carolina community practice standards as verified by independent Medicaid consultants. As required by 10A NCAC 25A.0201, a medically necessary service may not be experimental in nature.
Appears in 3 contracts
Samples: www.alliancehealthplan.org, learn.optumrx.com, learn.optumrx.com
Medically Necessary or Medical Necessity. Medical necessity is determined by generally accepted North Carolina community practice standards as verified by independent Medicaid Medical consultants. As required by 10A NCAC 25A.0201, a medically necessary service may not be experimental in nature.
Appears in 1 contract
Samples: www.alliancehealthplan.org
Medically Necessary or Medical Necessity. Medical necessity is determined by generally accepted North Carolina community practice standards as verified by independent Medicaid consultants. As required by 10A NCAC 25A.0201, a medically necessary service may not be experimental in natureinnature.
Appears in 1 contract
Samples: www.uhcprovider.com