North Carolina General Statutes Chapter 108D. Medicaid Managed Care for Behavioral Health Services § 108D-35. Services covered by PHPs

(1) Medicaid services covered by the local management entities/managed care organizations (LME/MCOs) under the combined 1915(b) and (c) waivers shall not be covered under a standard benefit plan, except that all capitated PHP contracts shall cover the following services:

(2) Dental services.

(3) Services provided through the Program of All-Inclusive Care for the Elderly (PACE).

(4) Services documented in an individualized education program, as defined in G.S. 115C-106.3, or other document described in the Medicaid State Plan, and provided or billed by a local education agency, as defined in G.S. 115C-106.3.

(5) Services documented in an individualized family service plan under the Individuals with Disabilities Education Act, 20 U.S.C. § 1436, that are provided and billed by a Children's Developmental Services Agency or by a provider contracted with a Children's Developmental Services Agency to provide those services.

(6) Services for Medicaid program applicants during the period of time prior to eligibility determination.

(7) The fabrication of eyeglasses, including complete eyeglasses, eyeglass lenses, and ophthalmic frames.