reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0101 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules of this Subchapter protect the client's right to
					 confidentiality. Non-identifying statistical information, general information
					 about the scope of any programs administered by the agency, and any written
					 policy relevant to the administration of the Medicaid program, are not
					 confidential information.
Authority
					 G.S.
					 108A-54;
					 108A-80;
Eff.
					 September 1, 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0401 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0102 - INFORMATION FROM OTHER AGENCIES

Current through Register Vol. 39, No. 2, July 15, 2024
If the agency receives information from another agency or
					 individual, that information shall be treated as any other information
					 generated by the Division of Health Benefits or the county department of social
					 services, and disclosure thereof will be governed by any condition imposed by
					 the furnishing agency or individual.
Authority
					 G.S.
					 108A-54;
					 108A-80;
Eff.
					 September 1, 1984;
Transferred from
					 10A NCAC
					 21A .0402 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23, 2016;
Amended Eff. March
					 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0103 - CONFIDENTIALITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Except as
				  otherwise provided in these Rules it shall be unlawful for any person to
				  obtain, disclose or use, or to authorize, permit or acquiesce to the use of any
				  list of names or other information concerning any client applying for or
				  receiving Medicaid that may be directly or indirectly derived from the records,
				  files, or communications of the agency, or acquired in the course of performing
				  official duties except for purposes directly connected with the administration
				  of the Medicaid program.
(b)
				  Whenever federal or state statutes or regulations specifically address
				  confidentiality issues, the agency shall disclose or keep confidential client
				  information in accordance with those federal or state statutes or
				  regulations.
(c) Whenever there is
				  inconsistency between federal or state statutes or regulations specifically
				  addressing confidentiality issues, the agency shall abide by the statute or
				  regulation which provides more protection for the client.
Authority
					 G.S.
					 108A-54;
					 108A-80;
					 42 C.F.R.
					 431.302;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0403 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0104 - OWNERSHIP OF RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All client
				  information contained in any records of the agency is the property of the
				  agency, and employees of the agency shall protect and preserve such information
				  from dissemination except as provided by the rules of this
				  Subchapter.
(b) Original client
				  records may not be removed from the premises by individuals other than
				  authorized staff of the agency, except by a court order.
(c) The agency shall be allowed to destroy
				  records in accordance with record retention schedules promulgated by the
				  Division of Archives and History, rules of the Division of Medical Assistance,
				  and state and federal statutes and regulations.
Authority
					 G.S.
					 108A-54;
					 108A-80;
					 42 C.F.R.
					 431.306;
Eff. September 1,
					 1984;
Transferred from
					 10A NCAC
					 21A .0404 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0105 - SECURITY OF RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The agency
				  shall provide a secure place or places with controlled access for the storage
				  of records. Only individuals who must access client information in order to
				  carry out duties assigned or approved by the agency shall be authorized access
				  to the storage area or areas.
(b)
				  Only authorized individuals may remove a record from the storage area or areas
				  and the authorizing individual shall be responsible for the security of the
				  record until it is returned to the storage area or areas.
(c) The agency shall establish procedures to
				  prevent accidental disclosure of client information from automated data
				  processing systems.
(d) The
				  director shall assure that all authorized individuals are informed of the
				  confidential nature of client information and shall disseminate written policy
				  to and provide training for all persons with access to client
				  information.
Authority
					 G.S.
					 108A-54;
					 108A-80;
					 42 C.F.R.
					 431.306;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0405 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0106 - LIABILITY OF PERSONS WITH ACCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Failure to
				  comply with the rules in this Subchapter is unlawful pursuant to
				  G.S.
				  108A-80.
(b) Individuals employed by the Division and
				  county departments of social services and governed by the State Personnel Act
				  are subject to suspension, dismissal, or disciplinary action for failure to
				  comply with these Rules.
(c)
				  Individuals other than employees, including volunteers and students who are
				  agents of the Department of Health and Human Services and who have access to
				  client information, shall be liable in the same manner as employees.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-80;
					 42 C.F.R.
					 431, Subpart F;
Eff. September 1,
					 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0406 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0107 - RIGHT OF ACCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An individual
				  has the right to obtain information about his or her own case. Upon written or
				  verbal request, the client shall be able to review or obtain without charge a
				  copy of the information in his or her records with the following exceptions:
(1) Information that the agency is required
				  to keep confidential by State or federal statutes, rules, or
				  regulations;
(2) Confidential
				  information originating from another agency as set forth in Rule .0104 of this
				  Section; and
(3) Information that
				  would breach another individual's right to confidentiality under State or
				  federal statutes, rules, or regulations as determined by the Division or the
				  county department of social services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0108 - WITHHOLDING INFORMATION FROM THE CLIENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When the
				  director or a delegated representative determines on the basis of the
				  exceptions in Rule .0107 of this Section to withhold information from the
				  client, this reason shall be documented in the client record.
(b) The director or delegated representative
				  shall inform the client that information is being withheld, and upon which of
				  the exceptions specified in Rule .0107 of this Section the decision to withhold
				  the information is based. If confidential information originating from another
				  agency is being withheld, the client shall be referred to that agency for
				  access to the information.
(c) When
				  a delegated representative determines to withhold client information, the
				  decision to withhold shall be reviewed by the supervisor of the person making
				  the initial determination.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-80;
Eff.
					 September 1, 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0408 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0109 - PROCEDURE FOR REVIEW OF RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  director or his or her delegated representative shall be present when the
				  client reviews the record. The director or his or her delegated representative
				  shall document in the client record the review of the record by the
				  client.
(b) A client may contest
				  the accuracy, completeness, or relevancy of the information in his or her
				  record. If the Division or county department of social services determines
				  correction is required by federal statute or regulation to support receipt of
				  State or federal participation, the correction of the contested information
				  shall be accomplished by inserting it in the record when the director or his or
				  her delegated representative concurs that such correction is justified. When
				  the director or his or her delegated representative does not concur, the client
				  shall be allowed to enter a statement in the record. Deletion of the contested
				  information is not permitted. If a delegated representative decides not to
				  correct contested information, the decision not to correct shall be reviewed by
				  the supervisor of the person making the initial decision. All corrections and
				  statements shall be made a permanent part of the record and shall be disclosed
				  to any recipient of the disputed information.
(c) Upon written request from the client, his
				  or her personal representative, including an attorney, may have access to
				  review or obtain without charge, a copy of the information in his or her
				  record. The client may permit the personal representative to have access to his
				  or her entire record or may restrict access to certain portions of the record.
				  Rules .0107 and .0108 of this Section shall apply.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-80;
Eff.
					 September 1, 1984;
Transferred from
					 10A NCAC
					 21A .0409 Eff. May 1, 2012;
Readopted Eff. August 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0110 - CONSENT FOR RELEASE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) As a part of
				  the application process for Medicaid, the client shall be informed of the need
				  for and give consent to release of information for verification of statements
				  to establish eligibility.
(b) No
				  individual shall release any client information that is owned by the Division
				  of Health Benefits or the county departments of social services, or request the
				  release of information regarding the client from other agencies or individuals,
				  without obtaining a signed consent for release of information. The procedure
				  for disclosure without obtaining consent shall be in accordance with Rule .0111
				  of this Section.
(c) The consent
				  for release of information shall contain the following:
(1) The name of the provider and the
				  recipient of the information;
(2)
				  The extent of information to be released;
(3) The name and dated signature of the
				  client;
(4) A statement that the
				  consent is subject to revocation at any time except to the extent that action
				  has been taken in reliance on the consent; and
(5) The length of time the consent is
				  valid.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0111 - DISCLOSURE WITHOUT CLIENT CONSENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Client
				  information from the Medicaid record may be disclosed without the consent of
				  the client under the following circumstances:
(1) To other employees of the county
				  department of social services for purpose of making referrals, supervision,
				  consultation, or determination of eligibility;
(2) To other county departments of social
				  services when the client moves to that county and requests Medicaid;
(3) Between the county departments of social
				  services and the Division of Health Benefits for purposes of supervision and
				  reporting.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0112 - DOCUMENTATION OF CONSENT OR DISCLOSURE

Current through Register Vol. 39, No. 2, July 15, 2024
Whenever client information is disclosed in accordance with
					 rules of this Subchapter, the director or delegated representative shall
					 document the disclosure in the client record.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-80;
Eff.
					 September 1, 1984;
Transferred from
					 10A NCAC
					 21A .0412 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION › Subchapter H - CONFIDENTIALITY AND ACCESS TO CLIENT RECORDS › Section .0100 - GENERAL › Section 23H .0113 - PERSONS DESIGNATED TO DISCLOSE INFORMATION

Current through Register Vol. 39, No. 2, July 15, 2024
Only directors of county departments of social services and
					 their designated representatives may disclose client information in accordance
					 with rules of this Subchapter. The process for delegation is set out in
					 G.S.
					 108A-14(b).
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-14(b);
					 108A-80;
Eff.
					 September 1, 1984;
Amended Eff. August 1, 1990;
Transferred from
					 10A NCAC
					 21A .0413 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter A - GENERAL › Section .0200 - MEDICAL SERVICES › Section 25A .0201 - MEDICAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Pursuant to the State Plan, all medical services performed
					 shall be medically necessary and may not be experimental in nature. Medical
					 necessity shall be determined by generally accepted North Carolina community
					 practice standards as verified by independent Medicaid
					 consultants.
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 108A-54.1B;
					 42 C.F.R.
					 440.230(d);
Eff.
					 March 1, 1990;
Transferred from
					 10A NCAC
					 22O .0301 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter C - BEHAVIORAL HEALTH/SUBSTANCE ABUSE › Section .0200 - MENTAL HEALTH CENTER SERVICES › Section 25C .0201 - EXPIRED - MENTAL HEALTH CENTER SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.70;
Eff. February 1,
					 1976;
Amended Eff. September 30, 1977;
Readopted Eff.
					 October 31, 1977;
Amended Eff. January 1, 1984; December 1,
					 1981;
Transferred from
					 10A NCAC
					 22O .0107 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter C - BEHAVIORAL HEALTH/SUBSTANCE ABUSE › Section .0300 - INPATIENT PSYCHIATRIC HOSPITAL SERVICES › Section 25C .0301 - EXPIRED - INPATIENT PSYCHIATRIC HOSPITAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
Eff.
					 February 1, 1976;
Readopted Eff. October 31, 1977;
Amended Eff. February 1, 1991;
Transferred from
					 10A NCAC
					 22O .0111 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter C - BEHAVIORAL HEALTH/SUBSTANCE ABUSE › Section .0300 - INPATIENT PSYCHIATRIC HOSPITAL SERVICES › Section 25C .0302 - EXPIRED - NC MEDICAID CRITERIA FOR CONTINUED ACUTE STAY IN AN INPATIENT PSYCHIATRIC FACILITY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 441, Subpart D;
Eff. January 1,
					 1998;
Temporary Amendment Eff. August 20, 1999;
Amended
					 Eff. March l9, 2001;
Transferred from
					 10A NCAC
					 22O .0113 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter D - INTELLECTUAL AND DEVELOPMENTAL DISABILITIES › Section .0200 - INTERMEDIATE CARE FACILITIES › Section 25D .0201 - EXPIRED - INTERMEDIATE CARE FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.50;
					 42 C.F.R. 440.150;
					 42 C.F.R.
					 440.230(d);
Eff.
					 February 1, 1976;
Readopted Eff. October 31, 1977;
Transferred from
					 10A NCAC
					 22O .0108 and
					 10A NCAC
					 22O .0408 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter F - CASE MANAGEMENT › Section .0200 - GENERAL CASE MANAGEMENT › Section 25F .0201 - EXPIRED - CASE MGMT SVCS/ADULTS/CHILDREN AT RISK/ABUSE/ NEGLECT/ EXPLOITATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54; Social Security Act,
					 1915(g);
Eff. October 1, 1992;
Recodified from
					 10 NCAC
					 26B .0122 Eff. October 1, 1993;
Temporary Amendment Eff. January 9, 1997;
Recodified from
					 10 NCAC
					 26B .0123 Eff. January 1, 1998;
Amended Eff. August 1, 1998;
Transferred from
					 10A NCAC
					 22O .0123 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter F - CASE MANAGEMENT › Section .0300 - HIV CASE MANAGMENT › Section 25F .0301 - EXPIRED - HIV CASE MANAGEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.169; Social Security Act
					 1915(b);
Eff. April 1, 1994;
Amended Eff. July 1,
					 1995;
Recodified from
					 10 NCAC
					 26B .0124 Eff. January 1, 1998;
Transferred from
					 10A NCAC
					 22O .0124 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0201 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) "Dental
				  Services" means diagnostic, preventive or corrective procedures or dentures
				  provided by or under the supervision of a dentist. These services include
				  treatment of the teeth and associated structures of the oral cavity, and of
				  disease, injury, or impairment which may affect the oral or general health of
				  the individual.
(b) "Emergency
				  dental care services" means those necessary to control bleeding, relieve pain,
				  or eliminate acute infection, including emergency endodontic therapy; operative
				  procedures which are required to prevent pulpal death and the imminent loss of
				  teeth; or treatment of injuries to the teeth or supporting structures (e.g.,
				  bone or soft tissues contiguous to the teeth). Prosthetic repairs that, if
				  delayed for prior approval, would adversely affect the health of the patient
				  may be considered emergency procedures.
(c) "Routine services" means examinations,
				  radiographs, preventive services, tooth extractions, minor oral surgical
				  procedures, restorative services, prosthetic repairs and adjunctive services,
				  such as general anesthesia, professional consultations and visits and the
				  intramuscular injections of medicaments and drugs.
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86; 42 C.F.R.
					 440.100;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 October 1, 1992; December 1, 1987; February 29, 1980;
Transferred
					 from 10A
					 NCAC 22O .0201 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0202 - EXPIRED - ELIGIBILITY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86;
42 C.F.R.
					 440.210;
					 42 C.F.R. 440.220;
Eff. February 1, 1976;
Readopted Eff. October 31, 1977;
Amended Eff. February 29, 1980;
Transferred from
					 10A NCAC
					 22O .0203 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0203 - STANDARDS FOR PARTICIPATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Dentists who provide services under the Medicaid program shall meet the
				  following standards:
(1) be licensed by the
				  appropriate state authority;
(2)
				  comply with State and federal statutes, rules, and regulations of the Medicaid
				  program; and
(3) agree that the
				  State Medicaid Agency or its designated agents may audit Medicaid dental
				  records.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0204 - AMOUNT: DURATION: AND SCOPE OF SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Necessary
				  and essential dental services, subject to the criteria and restrictions in the
				  North Carolina Dental Manual are covered for all eligible Medicaid recipients.
				  Only the procedures listed in the North Carolina Dental Manual are generally
				  covered under the North Carolina Dental Program.
(b) Exceptions may be made when recommended
				  by the Dental Consultant and approved by the agency head when:
(1) An emergency condition causing pain or
				  suffering needs immediate attention; or
(2) An alternative dental treatment plan is
				  safe, medically acceptable and less expensive but is not on the procedure list;
				  or
(3) The procedure is medically
				  necessary and is of such complexity and the circumstances are so unusual that a
				  coverage decision requires individual consideration based on the medical
				  condition of the client, diagnosis, prognosis, and the unavailability of other
				  alternative treatment options.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0205 - RESTRICTIONS AND PRIOR APPROVAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Division of Health Benefits shall have the right of prior approval for dental
				  services except for routine and emergency services.
(b) All other dental services are subject to
				  prior approval. Dental services categories requiring dental prior approval are
				  as follows: Elective root canal treatment, periodontal services, orthodontic
				  services, complex oral surgical and reconstructive procedures, complete and
				  partial dentures, denture relines and analgesia (nitrous oxide). Each specific
				  procedure under the American Dental Association (ADA) service category in this
				  Paragraph will be listed in the provider dental manual and provider bulletins
				  with the appropriate prior approval service restriction guidelines.
(c) The Division of Health Benefits may
				  require prior approval for any services for individual providers who have been
				  investigated by the Division under
				  10A NCAC
				  22F or by the Attorney General's Fraud
				  Control Unit under 42 Code of Federal Regulations 455.300, and the
				  investigation resulted in monetary recovery of payments made by Medicaid to the
				  provider or criminal conviction of the provider.
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86;
Eff. February 1, 1976;
Amended Eff. September 30,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 October 1, 1992; February 29, 1980;
Transferred from
					 10A NCAC
					 22O .0205 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23, 2016;
Amended Eff. March
					 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0200 - GENERAL › Section 25H .0206 - EXPIRED - PRIOR APPROVAL

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86;
Eff. February 1, 1976;
Readopted Eff. October 31,
					 1977;
Transferred from
					 10A NCAC
					 22O .0211 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter H - DENTAL SERVICES › Section .0300 - SERVICES PROVIDED › Section 25H .0301-.0305 - EXPIRED

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86;
Eff. February 1, 1976;
Readopted Eff. October 31,
					 1977;
Amended Eff. October 1, 1992; December 1, 1987; January 1,
					 1982; February 29, 1980; October 31, 1977;
Transferred from
					 10A NCAC
					 22O .0206-22O
					 .0210 Eff. May 1, 2012;
Expired Eff.
					 August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0200 - PHARMACY SERVICES › Section 25K .0201 - REPEALED - PHARMACY SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-85.26;
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.90;
					 42 CFR 447.331; S.L. 1985, c. 479,
					 s. 86; 42 U.S.C.
					 1396r-8(d)(1)(A); S.L
					 2009-451;
Eff. September 30, 1977;
Readopted Eff.
					 October 31, 1977;
Amended Eff. January 1, 1984;
Recodified from
					 10 NCAC
					 26B .0116 Eff. October 1, 1993;
Recodified from
					 10 NCAC
					 26B .0117 Eff. January 1, 1998;
Amended Eff. May 1, 2010;
Transferred from
					 10A NCAC
					 22O .0118 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0300 - DRUG USE REVIEW BOARD › Section 25K .0301 - ESTABLISHMENT

Current through Register Vol. 39, No. 2, July 15, 2024
The Division of Health Benefits will establish a Drug Use
					 Review Board. The Drug Use Review Board shall not have rule making authority.
					 The Division of Health Benefits shall have the authority to reject
					 recommendations of the Drug Use Review Board. In the event of such rejections,
					 Division of Health Benefits shall notify the Drug Use Review Board, in writing,
					 of the reasons for its action and allow the DUR Board an opportunity to
					 reconsider its recommendation or decision.
Authority
					 G.S.
					 108A-68; Social Security Act Section
					 1927(g);
Eff. January 4, 1993;
Transferred from
					 10A NCAC
					 22M .0101 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23, 2016;
Amended Eff. March
					 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0300 - DRUG USE REVIEW BOARD › Section 25K .0302 - MEMBERSHIPS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The DUR Board
				  shall consist of the Division of Health Benefits Drug Use Review Coordinator
				  and the following appointed positions:
(1)
				  five licensed and practicing physicians;
(2) five licensed and practicing pharmacists;
				  and
(3) at least two additional
				  individuals with knowledge and expertise in one or more of the following:
(A) prescribing of Medicaid covered
				  outpatient drug;
(B) dispensing and
				  monitoring of Medicaid covered outpatient drugs;
(C) drug use review, evaluation, and
				  intervention; or
(D) medical
				  quality assurance.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0300 - DRUG USE REVIEW BOARD › Section 25K .0303 - CHAIRMEN

Current through Register Vol. 39, No. 2, July 15, 2024
One pharmacist and one physician shall serve as co-chairmen
					 of the Board. Beginning in calendar year 1996, each co-chairman shall be
					 elected by his peers, the term of the chairmen shall be one year, and
					 membership on the Board of at least one previous year shall be required to
					 establish eligibility for serving as the chairman.
Authority
					 G.S.
					 108A-68; Social Security Act Section
					 1927(g);
Eff. January 4, 1993;
Transferred from
					 10A NCAC
					 22M .0103 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0300 - DRUG USE REVIEW BOARD › Section 25K .0304 - ACTIVITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The activities
				  of the Drug Use Review Board shall include but are not limited to making
				  recommendations for rules to the Division Directors for Medicaid recipients for
				  the following:
(1) retrospective review of
				  Medicaid claims information for drug therapy problems;
(2) application of standards for prospective
				  and retrospective Drug Use Review;
(3) ongoing interventions for prescribers,
				  pharmacists, and recipients targeted toward therapy problems identified in the
				  course of Medicaid retrospective drug use reviews;
(4) preparation of an annual report to the
				  Division of Health Benefits on the Drug Use Review process;
(5) programs to educate pharmacists and
				  prescribers on common drug therapy problems identified in the Medicaid drug use
				  reviews with the aim of improving prescribing or dispensing
				  practices.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0400 - PROSPECTIVE DRUG REVIEW › Section 25K .0401 - PATIENT COUNSELING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Rule
				  21 NCAC
				  46 .2504, as adopted by the North Carolina
				  Board of Pharmacy, shall apply to Medicaid, and is hereby incorporated by
				  reference including subsequent amendments and editions.
(b) If a pharmacy fails to comply with the
				  requirements of
				  21 NCAC
				  46 .2504, any claim for reimbursement
				  associated with the pharmacy's non-compliance shall be denied, or if already
				  paid, shall be recouped.
Authority
					 G.S.
					 108A-54;
					 108A-54.1B;
					 108A-68;
					 42 U.S.C.
					 1396r-8(g)(2)(A)(ii);
Eff. June 1, 1993;
Amended Eff. March 1, 2010;
Transferred from
					 10A NCAC
					 22M .0201 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0500 - RETROSPECTIVE DRUG USE REVIEW (DUR) › Section 25K .0501 - EXPIRED - RETROSPECTIVE DRUG USE REVIEW (DUR)

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-68;
					 42 U.S.C.
					 1396R-8(2)(b)-(C);
Eff. January 4, 1993;
Amended March 1, 2010;
Transferred from
					 10A NCAC
					 22M .0301 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0500 - RETROSPECTIVE DRUG USE REVIEW (DUR) › Section 25K .0502 - SCREENING AND PATTERN ANALYSIS

Current through Register Vol. 39, No. 2, July 15, 2024
At least quarterly, the Medicaid drug claims, in
					 conjunction with other Medicaid claims as needed for clinical purposes, shall
					 be subjected to screening against standards approved by the Drug Use Review
					 Board. The objective of the screening is to identify patterns of behavior
					 involving prescribers and pharmacists,
or patterns associated with specific drugs or groups of
					 drugs. Health care patterns of individual Medicaid recipients shall be
					 screened. In addition, individual incidences of screen failure associated with
					 a specific recipient shall be identified for intervention
					 alerts.
Authority
					 G.S.
					 108A-68; Social Security Act Section
					 1927(g);
Eff. January 4, 1993;
Transferred from
					 10A NCAC
					 22M .0302 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0500 - RETROSPECTIVE DRUG USE REVIEW (DUR) › Section 25K .0503 - INTERVENTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The primary objective of the retrospective Drug Use Review
					 is to provide education to pharmacists and prescribers, both individually and
					 collectively, in order to improve prescribing and dispensing practices. The
					 intervention and educational programs shall be developed by the Drug Use Review
					 Board and shall be updated as more information is available from the
					 retrospective review process.
The Drug Use Review Board may establish referral processes
					 to the Board of Pharmacy, the Board of Medical Examiners, the Board of Dental
					 Examiners, other health care licensing agencies, or the Division of Health
					 Benefits Program Integrity Section for individual pharmacists or prescriber who
					 continue to demonstrate patterns of prescribing or dispensing which put the
					 Medicaid recipient at risk from drug therapy problems even after repeated
					 warnings through Drug Use Review interventions.
Authority
					 G.S.
					 108A-68; Social Security Act Section
					 1927(g);
Eff. January 4, 1993;
Transferred from
					 10A NCAC
					 22M .0303 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23, 2016;
Amended Eff. March
					 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter K - DRUGS/PHARMACY › Section .0500 - RETROSPECTIVE DRUG USE REVIEW (DUR) › Section 25K .0504 - COMPLIANCE MONITORING

Current through Register Vol. 39, No. 2, July 15, 2024
The prescriber's and pharmacist's responses to the
					 interventions undertaken as a result of the retrospective Drug Use Review shall
					 be tracked. The Drug Use Review Board may establish selection criteria for
					 intensified review and monitoring of individual pharmacists and
					 prescribers.
Authority
					 G.S.
					 108A-68; Social Security Act Section
					 1927(g);
Eff. January 4, 1993;
Transferred from
					 10A NCAC
					 22M .0304 Eff. May 1, 2012;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 23,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter M - FACILITIES › Section .0200 - INPATIENT HOSPITAL SERVICES › Section 25M .0201 - REPEALED - INPATIENT HOSPITAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54; S.L. 1985, c. 479, s.
					 86; 42 C.F.R.
					 440.10;
					 42 C.F.R. 440.230(d);
					 42 C.F.R.
					 447.253;
					 42 C.F.R. 456.1;
Eff.
					 February 1, 1976;
Readopted Eff. October 31, 1977;
Amended Eff. October 1, 1986; August 1, 1986; October 1, 1982;
Temporary Amendment Eff. October 15, 1999;
Temporary Amendment
					 Expired July 28, 2000;
Temporary Amendment Eff. September 25,
					 2000;
Temporary Amendment Expired June 29, 2001;
Paragraphs (a)-(d) transferred from
					 10A NCAC
					 22O .0401 Eff. May 1, 2012.
Paragraph (e) transferred from
					 10A NCAC
					 22O .0114 Eff. May 1, 2012 (Previously
					 recodified from
					 10 NCAC
					 26B .0112 Eff. October 1, 1993 and recodified
					 from 10
					 NCAC 26B .0113 Eff. January 1,
					 1998);
Repealed Eff. June 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter M - FACILITIES › Section .0300 - OUTPATIENT HOSPITAL SERVICES › Section 25M .0301 - EXPIRED - HOSPITAL OUTPATIENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.20;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 January 1, 1984;
Temporary Amendment Eff. September 1,
					 2000;
Temporary Amendment Expired May 29, 2001;
Transferred from
					 10A NCAC
					 22O .0102 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter M - FACILITIES › Section .0400 - SKILLED NURSING FACILITY SERVICES › Section 25M .0401 - EXPIRED - SKILLED NURSING FACILITY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.20; C.F.R. 440.40;
					 42 C.F.R.
					 440.230(d)
Eff.
					 February 1, 1976;
Readopted Eff. October 31, 1977;
Amended Eff. October 1, 1977; September 1, 1981;
Paragraphs (a)-(c)
					 transferred from
					 10A NCAC
					 22O .0116 Eff. May 1, 2012 (Previously
					 recodified from
					 10 NCAC
					 26B .0114 Eff. October 1, 1993 and recodified
					 from 10
					 NCAC 26B .0115 Eff. January 1,
					 1998);
Paragraph (d) transferred from
					 10A NCAC
					 22O .0403 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter M - FACILITIES › Section .0500 - OTHER FACILITES › Section 25M .0501 - EXPIRED - THERAPEUTIC LEAVE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-62;
Eff.
					 September 4, 1979;
Amended Eff. May 1, 2006; August 1, 1991; April
					 1, 1987;
Transferred from
					 10A NCAC
					 22O .0409 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter N - HEARING AND VISION › Section .0200 - HEARING SERVICES › Section 25N .0201 - EXPIRED - HEARING AID SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.110;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 November 2, 1992;
Transferred from
					 10A NCAC
					 22O .0109 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter N - HEARING AND VISION › Section .0300 - VISION SERVICES › Section 25N .0301 - EXPIRED - EYEGLASSES AND OPTOMETRIC SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.120;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 August 1, 1996; January 1, 1984;
Transferred from
					 10A NCAC
					 22O .0105 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter O - HOME AND COMMUNITY-BASED SERVICES › Section .0200 - HOME HEALTH SERVICES › Section 25O .0201 - EXPIRED - HOME HEALTH SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108-25(b);
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.70;
					 42 C.F.R. 440.230(d);
Eff. February 1, 1976;
Readopted Eff. October 31, 1977;
Amended Eff. August 1, 1986; April 1, 1999; February 1, 1980;
Paragraph (a) transferred from
					 10A NCAC
					 22O .0103 Eff. May 1, 2012;
Paragraphs (b)-(e) transferred from
					 10A NCAC
					 22O .0406 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter O - HOME AND COMMUNITY-BASED SERVICES › Section .0200 - HOME HEALTH SERVICES › Section 25O .0202 - EXPIRED - PERSONAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 108A-55; S.L. 2002-126; S.L.
					 1985, c. 479, s. 86; 42
					 C.F.R.
					 440.170(f);
Eff.
					 January 1, 1986;
Amended Eff. April 1, 1993; December 1,
					 1991;
Temporary Amendment Eff. December 27, 2002 (Paragraphs
					 (c)-(e));
Temporary Amendment Expired October 12, 2003 (Paragraphs
					 (c)-(e));
Paragraphs (a)-(b) transferred from
					 10A NCAC
					 22O .0120 Eff. May 1, 2012 (previously
					 recodified from
					 10 NCAC
					 26B .0119 Eff. October 1, 1993 and recodified
					 from 10
					 NCAC 26B .0120 Eff. January 1,
					 1998);
Paragraphs (c)-(e) transferred from
					 10A NCAC
					 22P .0410 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter O - HOME AND COMMUNITY-BASED SERVICES › Section .0200 - HOME HEALTH SERVICES › Section 25O .0203 - EXPIRED - HOME INFUSION THERAPY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 42 C.F.R.
					 440.230;
					 42 C.F.R. 440.260;
Eff. March 1, 1993;
Recodified from
					 10 NCAC
					 26B .0123 Eff. October 1, 1993;
Recodified from
					 10 NCAC
					 26B .0124 Eff. April 1, 1994;
Recodified from
					 10 NCAC
					 26B .0125 Eff. January 1, 1998;
Transferred from
					 10A NCAC
					 22O .0125 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter O - HOME AND COMMUNITY-BASED SERVICES › Section .0200 - HOME HEALTH SERVICES › Section 25O .0204 - EXPIRED - PRIVATE DUTY NURSING

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.80;
Eff. May 1,
					 1990;
Amended Eff. April 1, 1993; June 1, 1992;
Recodified from
					 10 NCAC
					 26B .0121 Eff. October 1, 1993;
Recodified from
					 10 NCAC
					 26B .0122 Eff. January 1, 1998;
Transferred from
					 10A NCAC
					 22O .0122 Eff. May 1, 2012;
Expired Eff. August 1, 2016 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter P - MEDICAL-SURGICAL › Section .0200 - INPATIENT HOSPITAL SERVICES › Section 25P .0201 - REPEALED - INPATIENT HOSPITAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b); S.L. 1985, c.
					 479, s. 86; 42 C.F.R.
					 440.230(d);
					 42 C.F.R.447.253;
					 42 C.F.R.
					 456.1;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 October 1, 1986; August 1, 1986; October 1, 1982;
Temporary
					 Amendment Eff. October 15, 1999;
Temporary Amendment Expired July
					 28, 2000;
Temporary Amendment Eff. September 25, 2000;
Temporary Amendment Expired June 29, 2001;
Transferred from
					 10A NCAC
					 22O .0401(e) Eff. May 1,
					 2012;
Repealed Eff. June 1, 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 25 - MEDICAL ASSISTANCE PROVIDED › Subchapter P - MEDICAL-SURGICAL › Section .0300 - OUTPATIENT HOSPITAL SERVICES › Section 25P .0301 - REPEALED - OUTPATIENT HOSPITAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 42 C.F.R.
					 440.20;
					 42 C.F.R. 440.230(d);
					 42 C.F.R.
					 456.1;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 October 1, 1986;
Transferred from
					 10A NCAC
					 22O .0402 Eff. May 1, 2012;
Repealed Eff. June 1, 2019.