PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Anesthesia for; perineal prostatectomy
How to Submit
N/A - No authorization is required
0909 Reserved for national use
How to Submit
N/A - No authorization is required
Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified
How to Submit
N/A - No authorization is required
Psychiatric Residential Treatment Facilities (PRTF)
Service provides non-acute inpatient facility care for Medicaid beneficiaries under 21 years of age who have a mental illness or a substance use disorder and need 24-hour supervision and specialized interventions.
Authorization Guidelines
- 1. TAR: Prior authorization is required
- 2. CON: Required, completed within the last 15 days
- 3. CCA or DA: Required. Re-assessment is required when new behavioral concerns are identified, there are changed/ unmet service or tx needs, and/or as part of the annual review of the service plan. Assessment must include an ASAM Score supported with detailed clinical documentation on each of the six ASAM dimensions (if applicable).
- 4. Complete PCP: Required, to include all required signatures and the 3-page crisis plan
- 5. Evidence of Family Engagement: Required
- 6. Discharge/Transition Plan: Required, to include a step-down plan
- 7. Out-of-State Paperwork: Required, if applicable.
- 8. Submission of applicable records that support the member has met the medical necessity criteria.
Reauthorization Guidelines
- 1. TAR: prior authorization required
- 2. Complete PCP: recently reviewed detailing the member’s progress with the service.
- 3. Updated ASAM Score: Required, if applicable
- 4. Family Engagement Plan: Required OR Visiting Resources, if there has been no family engagement
- 5. Child/Adolescent Discharge/ Transition Plan: Required
- 6. Submission of applicable records that support the member has met the medical necessity criteria.
Unit Value
One unit = 1 day
Limits
- 1. MCD will not cover PRTF services that are ordered by the court when medical necessity criteria are not met.
- 2. MCD will cover not cover PRTF services when the primary issues are social or economic, such as placement issues.
- 3. Federal regulations require the completion of a Certification of Need [CON] form prior to admission to a PRTF facility. The last dated signature on the CON determines the effective date of the CON and authorization for payment and must be maintained in the record.
Age Group Details
Children & Adolescents (Service is available to youth under the age of 21. Continued tx can be provided until the member’s 22nd birthday when medically necessary.)
Level of Care
While the LOCUS/ CALOCUS are specifically no longer required, providers are still expected to use a standardized assessment tool when evaluating an individual for treatment services.
How to Submit
Please submit your request to Trillium Health Resources (iTransact for TP Medicaid members and Provider Direct for MCD Direct members)
Resources
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s)
How to Submit
N/A - No authorization is required
0913 Partial hospitalization-Intensive
How to Submit
N/A - No authorization is required
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate
How to Submit
N/A - No authorization is required
0915 Group Therapy
How to Submit
N/A - No authorization is required
Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding
How to Submit
N/A - No authorization is required
0917 Biofeedback
How to Submit
N/A - No authorization is required
Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus
How to Submit
N/A - No authorization is required
0919 Other
How to Submit
N/A - No authorization is required
Visual Evoked Potential (VEP)
Visual Evoked Potential (VEP) test is a diagnostic tool for the neurological assessment of the visual system. VEP measures the time it takes for nerves to respond to stimulation. The size of the response is also measured. During the VEP test, the eyes are stimulated by looking at a test pattern. Each type of response is recorded from brain waves by using electrodes taped to the head. The VEP test is the most commonly used evoked potential test in the diagnosis of multiple sclerosis (MS). Interpretation is provided by neurologists, physiatrists, ophthalmologists or optometrists specially trained or skilled in VEP testing. The VEP test involves a flashing stroboscope or viewing a black and white checkered pattern on a television (TV) monitor in a darkened room. The black and white squares alternate on a regular cycle which generates electrical potentials along the optic nerve and into the brain producing wave patterns that are recorded. These are detected with electroencephalographical (EEG) sensors placed at specific sites on the back of the head (the occipital scalp). Each eye is tested independently while an eye patch is worn on the other eye. VEPs are very sensitive at measuring slowed responses to visual events and can often detect dysfunction which is undetectable through clinical evaluation and the person is unaware of any visual defects. Because of their ability to detect silent lesions and historic demyelinating episodes, they are very useful diagnostic tools. A definite diagnosis of multiple sclerosis requires at least two distinct demyelinating episodes, in two different central nervous system sites which are separated by at least one month (the Schumacher criteria). VEPs can often provide evidence of such episodes when other tests, even MRI, cannot.
Unit Value
1 unit per test
Limits
VEP is considered experimental and investigational if the Clinical Coverage Policy eligibility criteria are not met (section 2.0 and 3.0)
Exclusions
Medicaid does not cover VEP as a routine screening tool to meet the requirements of vision screening during an Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) exam. However, if during an EPSDT exam the physician documents a medical need for additional vision services, (i.e. an abnormality is suspected) the physician is expected to make the appropriate referral for a more formal vision assessment. Physicians providing children’s vision assessments shall follow the American Academy of Pediatrics policy for “Eye Examination in Infants, Children, and Young Adults by Pediatricians.”
Place of Service
Inpatient, Outpatient, Office and Independent Diagnostic Testing Facilities (IDTF)
Additional Service Specifics
Use modifier 26 when billing the professional component. Use modifier TC when billing the technical component.
How to Submit
N/A - No authorization is required
Resources
Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral
How to Submit
N/A - No authorization is required
Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles
How to Submit
N/A - No authorization is required
0923 Pap smear
How to Submit
N/A - No authorization is required
Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral
How to Submit
N/A - No authorization is required
0925 Pregnancy test
How to Submit
N/A - No authorization is required
Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal
How to Submit
N/A - No authorization is required
Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.