NC Division of Medical Assistance Medicaid and Health Choice Outpatient ...
Basic Medicaid and NC Health Choice Billing Guide, sections 2 and 6, and on the EPSDT provider page. The Web addresses are specified below. ... B. Treatment of Episodic Cluster Headache in Adults (Emgality 100mg/ml (set of 3) Initial Criteria for Coverage 1. Beneficiary has a diagnosis of Episodic Cluster Headache with at least two cluster ... ................
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