Alternative and Augmentative Communication Referrals

Medical billing for augmentative communication referrals at NCATP currently requires the forms below. Refer to the Medical Billing Directions for further information.This process is for persons that will use Medicaid (ages 0-21 only) or private insurance for payment.

Note: If funding other than private medical insurance or Medicaid is used, please refer to the “AT and Training Referral” page.

Medical Billing Directions**

Medical Billing Form**

CMS-1500

AT Referral for Services**

**You can complete these forms on your computer and mail them with your packet to the address below.

Please mail the following information to:

Kim Morris

NC Assistive Technology Program,

4900 Waters Edge Dr., Suite 250

Raleigh, NC 27606

Frequently Asked Questions

Return to Making a Referral