AmeriHealth Caritas North Carolina Removes Notification Requirements & Reduces Prior Authorizations For Behavioral Health

As of January 1, 2025, AmeriHealth Caritas North Carolina (ACNC) removed notification requirements for behavioral health codes. Prior authorization requirements were eliminated for more than a dozen services including, but not limited to, facility-based crisis treatment, mobile crisis management, and outpatient treatments.

For physical health codes, ACNC removed prior authorization and notification requirements have been removed for more than 240 codes. This reduction includes a select number of durable medical equipment, physical and occupational therapies, orthotics and prosthetics, and surgery codes.

ACNC is a North Carolina Medicaid managed care plan. It is part of AmeriHealth Caritas, which provides Medicaid . . .