Medicare Bulletin - North Carolina, GR 07-05

May 2007 Medicare Bulletin - North Carolina Insert

Posted May 4, 2007

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Vagal Nerve Stimulation - LCD Revision
North Carolina Health Professionals Shortage Areas (HPSAs)
North Carolina Mental Health Professional Shortage Areas (HPSAs)

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Vagal Nerve Stimulation – LCD Revision

The LCD for Vagal Nerve Stimulation has been revised for NC (L6699) effective March 15, 2007. Please refer to the CIGNA Government Services Web site at http://www.cignagovernmentservices.com to view the policy .

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North Carolina Mental Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY	AREA NAME/PARTS	RURAL/URBAN
Beaufort	Tideland Beaufort	Rural
Bertie	Roanoke-Chowan Bertie	Rural
Bladen	Southeast Regional MHCA Blanden	Rural
Brunswick	Brunswick	Rural
Caldwell	Caldwell	Urban
Camden	Albermarle Camden	Rural
Cherokee²	Smokey Mountain MHCA Cherokee	Rural
Chowan	Albermarle Chowan Smokey Mountain	Rural
Clay²	Smokey Mountain MHCA Clay	Rural
Columbus	Southeast Regional Columbus	Rural
Currituck	Albermarle Currituck	Rural
Dare	Albermarle Dare	Rural
Duplin	Duplin-Sampson Duplin	Rural
Gates	Roanoke-Chowan Gates	Rural
Graham	Smokye Mountain MHCA Graham	Rural
Halifax	Halifax MHCA Halifax	Rural
Haywood²	Smokey Mountain MHCA Haywood	Rural
Hertford	Roanoke-Chowan Hertford	Rural
Hyde	Tideland Hyde	Rural
Jackson²	Smokey Mountain MHCA Jackson	Rural
Macon²	Smokey Mountain MHCA Macon	Rural
Madison¹	Madison
Martin	Tideland Martin	Rural
Northampton	Roanoke-Chowan Nothampton	Rural
Pasquotank	Albermarie Pasquotank	Rural
Pender³	Pender	Rural
Perquimans	Albermarle Perquimans	Rural
Robeson	Southeast Regional Robeson	Rural
Sampson	Duplin-Sampson Sampson	Rural
Scotland	Southeast Regional Scotland	Rural
Surry	Surry-Yadkin Surry Smokey Mountain	Rural
Swain²	Smokey Mountain MHCA Swain	Rural
Tyrrell	Tideland Tyrell	Rural
Washington	Tideland Washington	Rural
Yadkin	Surry-Yadkin Yadkin	Rural

¹ Classified as a Mental Health HPSA, Effective February 2, 2005

² Classified as a Mental Health HPSA, Effective June 30, 2005

³Classified as a Mental Health HPSA, Effective December 15, 2006

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North Carolina Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY	AREA NAME/PARTS	RURAL/URBAN
Alexander	All	Urban
Anson	All	Rural
Beaufort	Bayboro - Aurora Richland Twp. Belhaven - Swan Quarter Bath Twp., Pantego Twp	Rural
Bertie	All	Rural
Bladen¹	All	Rural
Caldwell	Western Caldwell - Globe Twp., Johns River Twp., Mulberry Twp., Patterson Twp., Wilson Creek Twp.,	Rural
Carteret⁵	Eastern Cateret - Atlantic Twp., Cedar Island Twp., Davis Twp., Harkers Islands Twp., Marshallberg Twp., Merrimon Twp., Portsmouth Twp., Sea Level Twp., Smyrna Twp., Stacy Twp., Strait Twp.	Rural
Caswell	All	Rural
Cherokee³	Andrews Area, Valley Town Twp.	Rural
Clay	All	Rural
Columbus	All	Rural
Currituck	All	Urban
Dare	Hatteras - Ocracoke SA Hatteras Twp., Kinnakeet Twp.	Rural
Edgecombe⁴	All	Urban
Franklin	All	Urban
Gates	All	Rural
Graham	All	Rural
Greene²	All	Rural
Guilford	Inner City Greensboro - Census Tracts 101, 107.02, 108.01, 110, 111.01, 112, 113, 114, 115	Urban

Hoke	All	Rural
Hyde	Belhaven-Swan Quarter Currituck Twp., Fairfield Twp., Lake Landing Twp., Lake Mattamuskeet Unorg., Swan Quarter Twp. Hatteras-Ocracoke Ocracoke Twp.	Rural
Lenoir	East Kinston - Census Tracts 101-105, 107	Urban
Macon¹	Franklin - Burningtown Twp., Cartoogechaye Twp., Cowee Twp., Ellijay Twp., Flats Twp., Franklin Twp., Millshoal Twp., Nantahala Twp., Smiths Bridge Twp.	Rural
Mecklenburg	Central Charlotte - Census Tracts 1, 4, 5, 6, 7, 8, 36, 37, 38.98, 39.01, 39.02, 41, 42, 45, 46, 47, 48, 49, 50, 51, 51.01, 52	Urban
Montgomery¹	All	Rural
Northampton	All	Rural

Pamlico	Bayboro - Aurora Pamlico	Rural
Pender	All	Rural
Person	All	Rural
Randolph	All	Urban
Robeson	All	Rural
Stokes	Danbury - Census Tracts 701, 702, and 703	Urban
Tyrrell	All	Rural
Warren	All	Rural
Washington	All	Rural

¹ No longer classified as a HPSA, effective August 1, 2002.
² Classifed as a HPSA, effective June 1, 2004.
³ No longer classified as a HPSA, effective December 1, 2004.
⁴No longer classified as a HPSA, effective September 8, 2006

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