NC Medicaid Program Authorizes Temporary Telephonic E/M Services for Influenza

In response to the higher than normal number of influenza cases and influenza-related complications and deaths, the North Carolina Division of Medical Assistance (DMA) is offering telephonic evaluation and management services (E/M) to beneficiaries who are actively experiencing flu-like symptoms. The purpose of this service is to assist primary care providers assessing established patients over the telephone to gather additional information. Dates of service for reporting of telephonic evaluation and management codes coincide with the annual flu season.

Claims for telephonic calls related to flu-like illness will be denied for dates of service after April 30, 2018. See SPECIAL BULLETIN Influenza Telephone Evaluation 2018-02.