Page 134 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

North Carolina

Medicaid Program: North Carolina Medicaid

Medicaid Program Administrator: Dept. of Health and Human Services, Division of Medical Assistance

Regional Telehealth Resource Center:
Mid-Atlantic Telehealth Resource Center
PO Box. 800711
Charlottesville, VA 22908-0711
(434) 906-4960 / (855) MATRC4U
www.matrc.org

STATE LAW/REGULATIONS MEDICAID PROGRAM

Definition of telemedicine/telehealth
“Telemedicine is the use of two-way real-time interactive “Telemedicine is the use of two-way real-time interactive
audio and video between places of lesser and greater audio and video between places of lesser and greater
medical capability or expertise to provide and support medical capability or expertise to provide and support
health care, when distance separates participants who health care, when distance separates participants who
are in different geographical locations.” are in different geographical locations.”

Source: NC General Statute 130A-125 Source: NC Div. of Medical Assistance, Medicaid and Health
Choice Manual, Clinical Coverage Policy No: 1H, Telemedicine
and Telepsychiatry, p. 3, Nov. 15, 2013.
Live Video Reimbursement

The Commission is required to address follow up North Carolina Medicaid will reimburse for live video
protocols to ensure early treatment for newborn infants medical services and tele-psychiatry services.
diagnosed with congenital heart defects, to include
telemedicine (live video). Eligible medical providers:

Source: NC General Statute 130A-125 • Physicians;
• Nurse practitioners;
• Nurse midwives;
• Physician’s assistants.

Source: NC Div. of Medical Assistance, Medicaid and Health
Choice Manual, Clinical Coverage Policy No: 1H, Telemedicine
and Telepsychiatry, p. 6, Nov. 15, 2013.

Eligible tele-psychiatry providers:

• Physicians;
• Advanced practice psychiatric nurse
practitioners;
• Advanced practice psychiatric clinical nurse
specialists;
• Licensed psychologists Ph.D level;
• Licensed clinical social workers (LCSW);
• Community diagnostic assessment agencies.

Source: NC Div. of Medical Assistance, Medicaid and Health
Choice Manual, Clinical Coverage Policy No: 1H, Telemedicine
and Telepsychiatry, p. 6, Nov. 15, 2013.

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