chocchildrenshospitalorangecountyhealthalliance policy updates
Track new and updated chocchildrenshospitalorangecountyhealthalliance policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Policy hierarchy and scope for medical necessity determinations | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Other | Modified | Jun 19, 2026 |
| Non-Emergency Medical Transportation (NEMT) Coverage Criteria | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Emergency & Medical Transportation | Modified | May 21, 2026 |
| Standard Rate Schedule | Chocchildrenshospitalorangecountyhealthalliance | Reimbursement | — | Modified | Jan 1, 2026 |
| Individual Placement and Support (IPS) - NC Core Alternative Payment Model | Chocchildrenshospitalorangecountyhealthalliance | Reimbursement | — | Modified | Nov 1, 2024 |
| Office visits - Routine, Medical and Evaluation & Management Coding | Chocchildrenshospitalorangecountyhealthalliance | Reimbursement | — | Modified | Jan 1, 2022 |
| Medically Necessary Contact Lenses & Fitting | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2020 |
| Visual Evoked Potential (VEP) Testing | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2020 |
| VISUAL FIELD TESTING | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2020 |
| Experimental and Investigational Services coverage | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Other | Modified | — |
| NC Medicaid Assertive Community Treatment (ACT) Program | Chocchildrenshospitalorangecountyhealthalliance | Clinical | Psychiatry/Behavioral Health | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.