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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

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1E-7 Family Planning Services

Service Code
99386 (CPT) Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Adult Preventive Medicine Clinical Coverage Policy No.: 1A-2 Annual Health Assessment

Service Code
99386 (CPT) Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

Medicaid beneficiaries 21 years of age and older may receive one annual health assessment per 365 days.

The annual health assessment is not included in the legislated 22-visit limit per year.

Injectable medications and ancillary studies for laboratory and radiology are the only CPT codes that are separately billable when an annual health assessment is billed.

An annual health assessment and an office visit cannot be billed on the same date of service.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

Place of Service

Outpatient, Clinic.

How to Submit

N/A - No authorization is required

Resources

Transcranial Doppler Studies

Service Code
99386 (CPT) Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Transcranial Doppler (TCD) is used for the noninvasive assessment of blood flow to the brain. The noninvasive test uses sound waves to determine the blood flow moving through the arteries to the brain. The study can assist in determining if the arteries are narrowed or blocked. A transducer (probe) placed at the neck or the temple sends an ultrasound signal. The signal is received and transmitted to a microcomputer that calculates how fast the blood is traveling through the artery. A complete TCD study may include assessment of anterior (front) or posterior (back) cerebrovascular circulation. Complete cerebrovascular ultrasound could include both carotid duplex and TCD.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

TCD studies are limited to one procedure per date of service by the same or different provider.

  • a. Technical or professional components of TCD studies cannot to be billed on the same

date of service by the same or different provider as the complete procedure.

  • b. TCD studies are included in the reimbursement for surgery. Therefore, it is cannot be

billed separately when performed during a surgical session

Place of Service

Inpatient, Outpatient, Office, Home, Skilled nursing facility, Intermediate care facility and Independent Diagnostic Testing Facility (IDTF).

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99387 (CPT) Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Adult Preventive Medicine Clinical Coverage Policy No.: 1A-2 Annual Health Assessment

Service Code
99387 (CPT) Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

Medicaid beneficiaries 21 years of age and older may receive one annual health assessment per 365 days.

The annual health assessment is not included in the legislated 22-visit limit per year.

Injectable medications and ancillary studies for laboratory and radiology are the only CPT codes that are separately billable when an annual health assessment is billed.

An annual health assessment and an office visit cannot be billed on the same date of service.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

Place of Service

Outpatient, Clinic.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99391 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99392 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99393 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99393 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
All
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99394 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99394 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
All
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99395 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Adult Preventive Medicine Clinical Coverage Policy No.: 1A-2 Annual Health Assessment

Service Code
99395 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

Medicaid beneficiaries 21 years of age and older may receive one annual health assessment per 365 days.

The annual health assessment is not included in the legislated 22-visit limit per year.

Injectable medications and ancillary studies for laboratory and radiology are the only CPT codes that are separately billable when an annual health assessment is billed.

An annual health assessment and an office visit cannot be billed on the same date of service.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

Place of Service

Outpatient, Clinic.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99395 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
All
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required

Resources

Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Service Code
99395 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99396 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Adult Preventive Medicine Clinical Coverage Policy No.: 1A-2 Annual Health Assessment

Service Code
99396 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

Medicaid beneficiaries 21 years of age and older may receive one annual health assessment per 365 days.

The annual health assessment is not included in the legislated 22-visit limit per year.

Injectable medications and ancillary studies for laboratory and radiology are the only CPT codes that are separately billable when an annual health assessment is billed.

An annual health assessment and an office visit cannot be billed on the same date of service.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

Place of Service

Outpatient, Clinic.

How to Submit

N/A - No authorization is required

Resources

1E-7 Family Planning Services

Service Code
99397 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Family Planning Medicaid services are provided to an eligible Medicaid beneficiary of childbearing age to temporarily or permanently prevent or delay pregnancy. Medicaid Family Planning is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

FP Medicaid beneficiaries are limited to either one comprehensive preventive medicine evaluation or one annual assessment evaluation per 365 calendar days.

A comprehensive preventive medicine evaluation may be performed only if the beneficiary has not been seen in the previous 365 days.

If the beneficiary had an annual assessment, a comprehensive preventive medicine evaluation, or a postpartum exam in the previous 365 days, another comprehensive evaluation is not required before receiving Family Planning services.

FP Medicaid beneficiaries are limited to six inter-periodic visits per 365 calendar days in addition to the annual assessment or comprehensive preventive medicine evaluation.

One urinalysis and one blood count procedure code are allowed per 365 calendar days in conjunction with this service.

Exclusions

No claim is filed if, before any service is rendered, the beneficiary confirms they have been sterilized, are post-menopausal, or are otherwise incapable of conceiving or fathering a child; the visit must stop and the beneficiary is informed they are not eligible for Family Planning Medicaid services. Nurse visits billed with CPT code 99211 cannot be submitted on the same date of service as a comprehensive preventive medicine evaluation by a physician or advanced practice practitioner; total time must be combined into one evaluation and management code. Hospital emergency room or emergency department services are not covered for FP Medicaid beneficiaries, and inpatient hospital services are not covered. FP Medicaid also does not cover treatment for acute or chronic conditions discovered during screening, or services for beneficiaries who have been sterilized or no longer have a need for family planning services.

Place of Service

Non-Telehealth Claims: a. Inpatient hospitals (not applicable for a FP Medicaid beneficiary) b. Outpatient hospital: For a FP Medicaid beneficiary, the only surgical procedure or service allowed requiring outpatient beneficiary registration is sterilization, IUD removal or ultrasound for IUD related complications including missing strings. c. Office: utilizing offices within places of service 11 (Office), 19 (Off Campus Outpatient) or 22 (On Campus Outpatient) d. Ambulatory Surgical Centers (applicable for a FP Medicaid beneficiary for a sterilization. Numeric POS code(s): 02-Telehealth Provided Other than in Patient's Home.

Additional Service Specifics

FP. GT applies only when the service is telehealth billable and delivered by interactive audio-video.

How to Submit

N/A - No authorization is required

Resources

Adult Preventive Medicine Clinical Coverage Policy No.: 1A-2 Annual Health Assessment

Service Code
99397 (CPT) Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag
Prior Authorization Required
No
Benefit Plan
Medicaid
Age Group
Medicaid Adult (Age 21+)
Diagnosis Group
Physical Health

An adult preventive medicine health assessment consists of a comprehensive unclothed physical examination, comprehensive health history, anticipatory guidance/risk factor reduction interventions, and the ordering of gender- and age-appropriate laboratory and diagnostic procedures.

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

Limits

Medicaid beneficiaries 21 years of age and older may receive one annual health assessment per 365 days.

The annual health assessment is not included in the legislated 22-visit limit per year.

Injectable medications and ancillary studies for laboratory and radiology are the only CPT codes that are separately billable when an annual health assessment is billed.

An annual health assessment and an office visit cannot be billed on the same date of service.

Age Group Details

Covered for Medicaid beneficiaries 21 years of age and older

Place of Service

Outpatient, Clinic.

How to Submit

N/A - No authorization is required

Resources

99406 25 - smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes, up to 10 minutes ;significant, separately identifiable Evaluation & Management (E/M) service by the same provider on the same day as a procedure

Service Code
99406 (CPT) 99406 25 - smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes, up to 10 minutes ;significant, separately identifiable Evaluation & Management (E/M) service by the same provider on the same day as a procedure
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Authorization Guidelines

Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.

How to Submit

N/A - No authorization is required