reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0200 - HEARINGS: TRANSFER AND DISCHARGES FROM NURSING FACILITIES › Section 22H .0201 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Section:
(1) "Division" means the
				  North Carolina Division of Health Benefits, Department of Health and Human
				  Services.
(2) "Hearing Officer"
				  means the person designated by the Chief Hearing Officer of the Division's
				  Hearing Unit to preside over hearings between a resident and a nursing facility
				  provider regarding transfers and discharges.
(3) "Hearing Unit" means the Chief Hearing
				  Officer and his or her staff in the Division of Health Benefits, Department of
				  Health and Human Services.
(4)
				  "Notice of Transfer or Discharge form" means the form developed by the Division
				  containing the elements described at
				  42 C.F.R.
				  483.15(c)(5), which is
				  adopted and incorporated by reference with subsequent changes or amendments and
				  available free of charge at
https://www.ecfr.gov/
.
(5) "Request for Hearing" means a written
				  request by the resident, family member, or legal representative of the resident
				  that the resident wants to appeal the facility's decision to transfer or
				  discharge.
(6) The "Nursing Home
				  Hearing Request Form " means the form developed by the Division containing:
(a) the resident's name;
(b) the facility's name;
(c) the date of the Notice of Transfer or
				  Discharge form;
(d) the date of the
				  scheduled transfer or discharge;
(e) the requestor's preference for a
				  telephone hearing or in-person hearing in Raleigh, North Carolina;
(f) the requestor's name, address, telephone
				  number, and signature; and
(g) the
				  telephone number, fax number, mailing address, and email address of the
				  Division's Hearing Unit.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0200 - HEARINGS: TRANSFER AND DISCHARGES FROM NURSING FACILITIES › Section 22H .0202 - TRANSFER AND DISCHARGE REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To
				  transfer or discharge a resident, a facility shall comply with all of the
				  requirements of 42 C.F.R.
				  483.15, which is adopted and incorporated by
				  reference with subsequent changes or amendments and available free of charge at
https://www.ecfr.gov/
.
(b) In addition to the requirements in
				  Paragraph (a) of this Rule, a resident and, if contact information is
				  available, a family member or legal representative of the resident, shall be
				  notified in writing of a facility's decision to transfer or discharge the
				  resident. The Notice of Transfer or Discharge form shall be used by a facility
				  when giving notice of a transfer or discharge.
(c) Failure to complete the Notice of
				  Transfer or Discharge form shall result in the notice of the transfer or
				  discharge being invalid.
(d) The
				  resident shall be handed the Notice of Transfer or Discharge form on the same
				  day that it is dated.
(e) A copy of
				  the notice of Transfer or Discharge form shall be mailed to the family member
				  or legal representative, if contact information is available, on the same day
				  that it is dated.
(f) The facility
				  shall provide a Nursing Home Hearing Request Form to the resident and to the
				  family member or legal representative, if contact information is available, at
				  the same time as providing the Notice of Transfer or Discharge form.
Authority
					 G.S.
					 108A-25(b);
					 150B-21.6; 42 USCS 1396r(e)(3),
					 (f)(3); 42 C.F.R.
					 483;
Eff. April 1,
					 1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0200 - HEARINGS: TRANSFER AND DISCHARGES FROM NURSING FACILITIES › Section 22H .0203 - INITIATING A HEARING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In order to
				  initiate an appeal of a facility's intent to transfer or discharge, a resident,
				  family member, or legal representative shall submit a written request for a
				  hearing to the Hearing Unit. The request for hearing shall be received by the
				  Hearing Unit within 11 calendar days from the date of the facility's notice of
				  transfer or discharge. If the eleventh day falls on a Saturday, Sunday, or
				  legal holiday, then the period during which an appeal may be requested shall
				  run until the end of the next business day which is not a Saturday, Sunday, or
				  legal holiday.
(b) The request for
				  hearing shall be submitted to the Hearing Unit by mail, facsimile, or hand
				  delivery.
Authority
					 G.S.
					 108A-25(b); 42 USCS
					 1396r(e)(3), (f)(3); 42 C.F.R. Part 483, Subpart E;
Eff. April 1,
					 1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0200 - HEARINGS: TRANSFER AND DISCHARGES FROM NURSING FACILITIES › Section 22H .0204 - HEARING PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon timely
				  receipt of a request for a hearing of a transfer or discharge by a nursing
				  facility as set out in Rule .0203 of this Section, the Hearing Unit shall
				  notify the parties of the request.
(b) The parties shall be notified by
				  certified mail of the date, time, and place of the hearing. Hearings shall be
				  conducted by telephone, unless an in-person hearing is requested. If the
				  hearing is to be conducted in person, it shall be held in Raleigh, North
				  Carolina.
(c) The facility shall
				  make available to the resident all documents and records to be used at the
				  hearing, to be received at least five business days prior to the hearing. The
				  facility administrator shall forward identical information to the Hearing Unit,
				  to be received at least five business days prior to the hearing.
(d) The hearing officer may grant
				  continuances for good cause. For purposes of this Rule, circumstances beyond
				  the control of the party constitute good cause.
(e) The hearing officer shall dismiss a
				  request for hearing if the resident or family member or legal representative of
				  the resident fails to appear at a scheduled hearing, unless good cause is
				  shown.
(f) The hearing officer
				  shall proceed to conduct a scheduled hearing if a facility representative fails
				  to appear at a scheduled hearing.
(g) The Rules of Civil Procedures as
				  contained in
				  G.S.
				  1A-1 and the General Rules of Practice for
				  the Superior and District Courts as authorized by
				  G.S.
				  7A-34 and found in the Rules Volume of the
				  North Carolina General Statutes shall not apply in any hearings held by a
				  Division Hearing Officer. Division hearings are not contested case hearings
				  within the meaning of G.S. 150B and shall not be governed by the provisions of
				  that Chapter unless otherwise stated in these Rules. Parties may be represented
				  by counsel or other representative at the hearing.
Authority
					 G.S.
					 108A-25(b); 42 USCS
					 1396r(e)(3), (f)(3); 42 C.F.R. Part 431, Subpart E; 42 C.F.R. Part 483, Subpart
					 E;
Eff April 1, 1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0200 - HEARINGS: TRANSFER AND DISCHARGES FROM NURSING FACILITIES › Section 22H .0205 - HEARING OFFICER'S FINAL DECISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Hearing
				  Officer's final decision shall uphold or reverse the facility's decision
				  regarding the transfer or discharge of a resident. Copies of the final decision
				  shall be mailed via certified mail to the parties.
(b) A party may appeal the Hearing Officer's
				  final decision by filing a petition for judicial review in Wake County Superior
				  Court or in the superior court of the county where the petitioner resides
				  within 30 days of the date of the decision letter. The Department as the
				  decision maker in the appeal to the Hearing Unit shall not be a party of
				  record.
Authority
					 G.S.
					 108A-25(b); 42 USCS
					 1396r(e)(3), (f)(3); 42 C.F.R. Part 483, Subpart E;
Eff. April
					 1,1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0300 - PASRR HEARINGS › Section 22H .0301 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Section:
(1) "Division" means the
				  North Carolina Division of Health Benefits, Department of Health and Human
				  Services.
(2) "Hearing Officer"
				  means the person designated by the Chief Hearing Officer of the Division's
				  Hearing Unit to preside over hearings regarding Preadmission Screening and
				  Resident Review (PASRR) determinations.
(3) "Hearing Unit" means the Chief Hearing
				  Officer and his or her staff in the Division of Health Benefits, Department of
				  Health and Human Services.
(4)
				  "Preadmission Screening and Resident Review (PASRR) Notice of Determination"
				  means the form developed by the Division, containing the elements described at
				  42 C.F.R.
				  483.130(k), which is adopted
				  and incorporated by reference with subsequent changes or amendments and
				  available free of charge at
https://www.ecfr.gov/
.
(5) "Request for Hearing" means a written
				  request on a Hearing Request Form by the evaluated individual or family member
				  or legal representative of the evaluated individual, that the evaluated
				  individual wants to appeal the (PASRR) determination.
(6) The "Hearing Request Form" means the form
				  developed by the Division containing:
(a) the
				  individual's name;
(b) the facility
				  name, if the individual is residing in a facility;
(c) the requestor's preference for a
				  telephone hearing or in-person hearing in Raleigh, North Carolina;
				  and
(d) the requestor's name,
				  address, telephone number, and signature.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0300 - PASRR HEARINGS › Section 22H .0302 - PASRR REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The evaluated
				  individual and family member or legal representative shall be notified in
				  writing of the Division of MH/DD/SAS' PASRR determination under the provisions
				  of 42 CFR
				  483.130 which is incorporated by reference
				  with subsequent changes or amendments and available free of charge at
https://www.ecfr.gov/
.
(b) The PASRR Notice of Determination form
				  shall be used by Division of MH/DD/SAS when giving notice of a PASRR
				  determination.
(c) The Division of
				  MH/DD/SAS shall provide a Hearing Request form, PASRR II Screening form, and
				  PASRR Notice of Determination form to the evaluated individual and legal
				  representative under the provisions of
				  42 CFR
				  483.128(1) which is
				  incorporated by reference with subsequent changes or amendments and available
				  free of charge at
https://www.ecfr.gov/
.
Authority
					 G.S.
					 108A-25(b); 42 U.S.C.S.
					 1395i-3(e)(3), (f)(3); 1396r(e)(3), (e)(7)(F), (f)(3);
					 42 C.F.R.
					 483.5;
					 42 C.F.R. Part 483, Subparts C and
					 E;
Eff. October 1, 1994;
Readopted July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0300 - PASRR HEARINGS › Section 22H .0303 - INITIATING A HEARING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In order to
				  initiate an appeal of a PASRR determination, the evaluated individual, family
				  member, or legal representative shall submit a Hearing Request Form to the
				  Hearing Unit. The form shall be received by the Hearing Unit within 11 calendar
				  days from the date of the PASRR Notice of Determination. If the 11th day falls
				  on a Saturday, Sunday, or legal holiday, then the period during which an appeal
				  may be requested shall run until the end of the next business day which is not
				  a Saturday, Sunday, or legal holiday.
(b) The Hearing Request Form shall be
				  submitted to the Hearing Unit by mail, facsimile, or hand delivery.
Authority
					 G.S.
					 108A-25(b); 42 U.S.C.S.
					 1395i - 3(e)(3) and - (f)(3); 1396r(e)(3), (e)(7)(F), and (f)(3);
					 42 C.F.R.
					 431.200;
					 42 C.F.R. 483.5; 42 C.F.R. Part
					 483, Subpart E;
Eff. October 1, 1994;
Readopted Eff.
					 July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0300 - PASRR HEARINGS › Section 22H .0304 - HEARING PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon receipt of
				  a Hearing Request Form to appeal a PASRR determination, the Hearing Unit shall
				  notify the Division of MH/DD/SAS of the request.
(b) The parties shall be notified by
				  certified mail of the date, time, and place of the hearing. Hearings shall be
				  conducted by telephone, unless an in-person hearing is requested. If the
				  hearing is to be conducted in person, it shall be held in Raleigh, North
				  Carolina.
(c) The Division of
				  MH/DD/SAS shall mail all documents and records to be used at the hearing to the
				  person requesting the hearing by certified mail and forward identical
				  information to the Hearing Unit, to be received by both the requestor and the
				  Hearing Unit at least five business days prior to the hearing.
(d) The hearing officer may grant
				  continuances for good cause. For purposes of this Rule, circumstances beyond
				  the control of the party constitute good cause.
(e) The hearing officer shall dismiss a
				  request for a hearing if the evaluated individual or legal representative fails
				  to appear at a scheduled hearing, unless good cause is shown.
(f) The hearing officer shall proceed to
				  conduct a scheduled hearing if the Division of MH/DD/SAS fails to appear at a
				  scheduled hearing.
(g) The Rules of
				  Civil Procedure as contained in
				  G.S.
				  1A-1 and the General Rules of Practice for
				  the Superior and District Courts as authorized by
				  G.S.
				  7A-34 and found in the Rules Volume of the
				  North Carolina General Statutes shall not apply in any hearings held by the
				  Division Hearing Officer. Division hearings are not contested case hearings
				  within the meaning of G.S. 150B and shall not be governed by the provisions of
				  that chapter unless otherwise stated in these Rules. Parties may be represented
				  by counsel or other representative at the hearing.
Authority
					 G.S.
					 108A-25(b); 42 U.S.C.S.
					 1395i-3(e)(3), (f)(3); 42
					 C.F.R. 431, Subpart E; 42 C.F.R. Part 483,
					 Subpart E;
Eff. October 1, 1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter H - APPEALS PROCEDURES › Section .0300 - PASRR HEARINGS › Section 22H .0305 - HEARING OFFICER'S FINAL DECISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Hearing
				  Officer's final decision shall uphold or reverse the Division of MH/DD/SAS'
				  PASRR decision. Copies of the final decision shall be mailed via certified mail
				  to the parties.
(b) A party may
				  appeal the Hearing Officer's final decision by filing a petition for judicial
				  review in Wake County Superior Court or in the superior court of the county
				  where the petitioner resides within 30 days of the date of the decision letter.
				  The Division as the decision maker in the appeal to the Hearing Unit shall not
				  be a party of record.
Authority
					 G.S.
					 108A-25(b); 42 U.S.C.S.
					 1395i-3(e)(3), (f)(3); 42 U.S.C.S. 1396r(e)(3), (e)(7)(F), (f)(3);
					 42 C.F.R.
					 431.200;
					 42 C.F.R. Part 483, Subpart
					 E;
Eff. October 1, 1994;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter I - TITLE XIX REIMBURSEMENT AND ADMINISTRATIVE REVIEW PROCESS › Section .0100 - AUDIT REVIEW PROCESS › Section 22I .0101 - AUDIT TO BE CONDUCTED

Current through Register Vol. 39, No. 2, July 15, 2024
An audit of a provider may be conducted by the Division of
					 Health Benefits, or by an auditing firm subcontracted by
					 them.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 September 24, 1980;
Amended Eff. May 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Amended Eff.
					 March 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter I - TITLE XIX REIMBURSEMENT AND ADMINISTRATIVE REVIEW PROCESS › Section .0100 - AUDIT REVIEW PROCESS › Section 22I .0102 - EXIT CONFERENCE

Current through Register Vol. 39, No. 2, July 15, 2024
At the conclusion of the audit, the provider may request an
					 exit conference to discuss the audit findings with the provider that shall be
					 held by personnel of the unit conducting the audit.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 September 24, 1980;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter I - TITLE XIX REIMBURSEMENT AND ADMINISTRATIVE REVIEW PROCESS › Section .0100 - AUDIT REVIEW PROCESS › Section 22I .0103 - NOTICE OF PROGRAM REIMBURSEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Based on the audit findings the Division of Health Benefits
					 will issue to the provider a Notice of Program Reimbursement which shall state
					 the amount of reimbursement, if any, payable to the Division of Health Benefits
					 or payable to the provider.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 September 24, 1980;
Amended Eff. January 1, 1988;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Amended Eff.
					 March 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter I - TITLE XIX REIMBURSEMENT AND ADMINISTRATIVE REVIEW PROCESS › Section .0100 - AUDIT REVIEW PROCESS › Section 22I .0104 - REPEALED - RECONSIDERATION REVIEW

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
Eff.
					 September 24, 1980;
Amended Eff. January 1, 1988;
Repealed Eff. July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0101 - PURPOSE AND SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
The purpose of these regulations is to specify the rights of
				  providers to appeal reimbursement rates, payment denials, disallowances,
				  payment adjustments and cost settlement disallowances and adjustments. Provider
				  appeals for program integrity action are specified in
				  10A NCAC
				  22F.
Authority
				  G.S.
				  108A-25(b);
				  108A-54;
				  150B-11;
				  42 U.S.C.
				  1396(b);
Eff.
				  January 1, 1988;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. August 22,
				  2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0102 - PETITION FOR RECONSIDERATION REVIEW

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A provider
				may request a reconsideration review within 30 calendar days from receipt of
				final notification of payment, payment denial, disallowances, payment
				adjustment, notice of program reimbursement, and adjustments. A provider may
				request a reconsideration review within 60 calendar days from receipt of notice
				of an institutional reimbursement rate. Final notification of payment, payment
				denial, disallowances and payment adjustment mean that all administrative
				actions necessary to have a claim paid have been taken by the provider and the
				Division or the fiscal agent has issued a final adjudication. If no request is
				received within the respective 30 or 60 day periods, the Division's action
				shall become final.
(b) A request
				for reconsideration review shall be in writing and signed by the provider or
				the provider's representative and contain the provider's name, address, and
				telephone number. It shall state the specific dissatisfaction with the
				Division's action and should be mailed to: Appeals, Division of Health
				Benefits, 2501 Mail Service Center, Raleigh, North Carolina
				27699-2501.
(c) The provider may
				appoint another individual to represent him. A written statement setting forth
				the name, address, and telephone number of the representative so designated
				shall be sent to the address listed in Paragraph (b) of this Rule. The
				representative may exercise any rights given the provider in the review
				process. Notice of meeting dates, requests for information, or hearing
				decisions shall be sent to the authorized representative. Copies of such
				documents shall be sent to the petitioner only if a written request is
				made.
Authority
				  G.S.
				  108A-25(b);
				  108A-54;
				  42 U.S.C.
				  1396b;
				  42 C.F.R. 455.512;
Eff. January 1, 1988;
Readopted Eff. July 1, 2018;
Amended Eff. March 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0103 - RECONSIDERATION REVIEW PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon
				receipt of a request for a reconsideration review that is submitted timely
				pursuant to Rule .0102 of this Subchapter, the Deputy Director shall appoint a
				reviewer or panel to conduct the review. The Division shall arrange with the
				provider a time and date of the hearing. The provider shall reduce his
				arguments to writing and submit them to the Division no later than 14 calendar
				days prior to the review. Failure to submit written arguments within this time
				frame shall be grounds for dismissal of the reconsideration, unless the
				Division within the 14 calendar day period agrees to a delay for good cause.
				For purposes of this Rule, "good cause" is an action outside the control of the
				provider.
(b) The provider shall be
				entitled to an in-person review meeting unless the provider agrees to a review
				of documents only or a discussion by telephone.
(c) Following the review, the Division shall,
				within 30 calendar days or such additional time thereafter as specified in
				writing during the 30 day period, render a decision in writing and send it by
				certified mail to the provider or his representative.
Authority
				  G.S.
				  108A-25(b);
				  108A-54;
				  42 U.S.C.
				  1396b;
				  42 C.F.R. 455.512;
Eff. January 1, 1988;
Pursuant to
				  G.S.
				  150B-33(b)(9),
				  Administrative Law Judge Augustus B. Elkins, II declared this rule void as
				  applied in Psychiatric Solutions, Inc., d/b/a/ Holly Hill Hospital v. Division
				  of Medical Assistance, North Carolina Department of Health and Human Services
				  (02 DHR 1499);
Readopted Eff. July 1,
				  2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0104 - PETITION FOR A CONTESTED CASE HEARING

Current through Register Vol. 39, No. 2, July 15, 2024
If the provider disagrees with the reconsideration review
				  decision, the provider may request a contested case hearing in accordance with
				  G.S. 150B, Article 3 and
				  26 NCAC
				  03 .0103.
Authority
				  G.S.
				  108A-25(b);
				  108A-54;
				  42 U.S.C.
				  1396b;
				  42 C.F.R. 455.512;
Eff. January 1, 1988;
Readopted Eff. July 1,
				  2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0105 - REPEALED - PAYMENT STATUS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  108A-25(b);
				  108A-54;
				  150B-11;
				  42 U.S.C.
				  1396b(d)(2);
Eff. January 1, 1988;
Repealed Eff. September 1,
				  2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter J - TITLE XIX APPEALS PROCEDURES › Section 22J .0106 - PROVIDER BILLING OF PATIENTS WHO ARE MEDICAID RECIPIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				A provider may refuse to accept a patient as a Medicaid patient and bill the
				patient as a private pay patient only if the provider informs the patient that
				the provider will not bill Medicaid for any services or supplies but will
				charge the patient for all services or supplies provided. If a provider refuses
				to accept a patient as a Medicaid patient, the provider shall inform the
				patient before providing any services or supplies, except when it would delay
				provision of an appropriate medical screening, medical examination, or
				treatment as required by 42
				U.S.C. 1395dd.
(b) A provider will be deemed to have
				accepted a patient as a Medicaid patient if the provider files a Medicaid claim
				for services or supplies provided to the patient. Verification of eligibility
				alone shall not be deemed acceptance of a patient as a Medicaid patient. A
				patient, or a patient's representative, must request acceptance as a Medicaid
				patient by:
(1) presenting the patient's
				Medicaid card or presenting a Medicaid number either orally or in
				writing;
(2) stating either orally
				or in writing that the patient has Medicaid coverage; or
(3) requesting acceptance of Medicaid upon
				approval of a pending application or a review of continuing
				eligibility.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter K - QUALIFIED PROVIDERS › Section 22K .0101 - DEFINITION

Current through Register Vol. 39, No. 2, July 15, 2024
A provider qualified to make presumptive determinations of
				  Medicaid eligibility for pregnant women shall meet the conditions required by
				  Section 1920 of the Social Security Act, which is adopted and incorporated by
				  reference with subsequent changes or amendments and available free of charge at
http://uscode.house.gov/
,and sign
				  a written agreement with the Division of Health Benefits
				  (Division).
Authority
				  G.S.
				  108A-25(b);
				  42 U.S.C.
				  1396r-1;
				  42 C.F.R. 435.1103;
Eff. June 1, 1998;
Readopted Eff. July 1, 2018;
Amended
				  Eff. March 1, 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter K - QUALIFIED PROVIDERS › Section 22K .0102 - AGREEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The provider
				shall participate in training offered by the Division or its agents and make
				presumptive eligibility determinations in accordance with
				42 C.F.R.
				435.1103, which is adopted and incorporated
				by reference with subsequent changes or amendments and available free of charge
				at
https://www.ecfr.gov/
, and the
				Medicaid State Plan.
(b) The
				Division shall terminate the provider's Medicaid Participation agreement and
				authority to make presumptive determinations if the provider fails to make
				required notifications to the county department of social services in the
				pregnant woman's county of residency within five business days or fails to
				follow procedures set forth in the Medicaid State Plan, resulting in
				eligibility denials for a majority of the provider's referrals.
(c) Termination of the agreement shall occur
				30 calendar days following notification when termination is initiated by the
				Division.
Authority
				  G.S.
				  108A-25(b);
				  42 U.S.C.
				  1396r-1;
				  42 C.F.R. 435.1103;
Eff. June 1, 1988;
Readopted Eff. July 1,
				  2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter K - QUALIFIED PROVIDERS › Section 22K .0103 - PRESUMPTIVE DETERMINATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				Presumptive determinations of eligibility shall apply only to pregnant women
				whose family income does not exceed the federal poverty guidelines issued in
				the Federal Register by the US Department of Health and Human Services and
				revised annually, which are adopted and incorporated by reference with
				subsequent changes or amendments and available free of charge at
https://aspe.hhs.gov/poverty-guidelines
.
(b) Only one presumptive determination of
				eligibility during a single pregnancy shall be made by the same qualified
				provider.
(c) A presumptive
				determination of eligibility may be made by a different qualified provider if
				the provider has no knowledge of a prior determination.
Authority
				  G.S.
				  108A-25(b);
				  42 U.S.C.
				  1396r-1;
				  42 CFR 435.1103;
Eff.
				  June 1, 1988;
Readopted Eff. July 1,
				  2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0100 - MANAGED CARE › Section 22L .0101 - PROGRAM DEFINITION

Current through Register Vol. 39, No. 2, July 15, 2024
The Division's primary care case management contractor
					 shall contract with primary care physicians in participating counties to
					 deliver and coordinate the health care of certain categories of Medicaid
					 beneficiaries listed in
					 10A NCAC
					 22L .0104.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 August 3, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Amended Eff. July
					 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0100 - MANAGED CARE › Section 22L .0102 - COORDINATION FEE

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to normal Medicaid payments, the Division may
					 pay participating physicians a monthly fee to provide case management for
					 providing or coordinating the health care services of enrollees who have
					 selected them as their primary care physician.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 August 3, 1992.
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0100 - MANAGED CARE › Section 22L .0103 - ACCESS TO CARE

Current through Register Vol. 39, No. 2, July 15, 2024
The Division's primary care case management enrollees shall
					 be eligible to receive health care services that Medicaid beneficiaries are
					 eligible for. Beneficiaries receive services through their primary care
					 physician who either provides or coordinates health care.
Authority
					 G.S.
					 108A-25(b);
Eff.
					 August 3, 1992;
Readopted July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0100 - MANAGED CARE › Section 22L .0104 - ENROLLMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All Medicaid
				  beneficiaries in participating counties who are eligible for primary care case
				  management shall enroll. Eligible Medicaid beneficiaries include AFDC-related,
				  MIC, Aged, Blind and Disabled categories, unless exempt due to institutional
				  placement. Institutional placement includes nursing home, mental institutions,
				  and domiciliary care.
(b) The
				  following beneficiaries have the option to enroll in primary care case
				  management:
(1) Medicaid for Pregnant
				  Women;
(2) benefit diversion
				  beneficiaries;
(3) beneficiaries
				  with end stage renal disease; and
(4) Native Americans/Alaska
				  Natives.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0100 - MANAGED CARE › Section 22L .0105 - EXPIRED - EMERGENCY ROOM CARE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b); Section 93(h) of
					 Chapter 689, 1991 North Carolina Session laws;
Eff. August 3,
					 1992;
Expired Eff. September 1, 2015 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0200 - PREPAID PLANS › Section 22L .0201 - REPEALED - PROGRAM DEFINITION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
Eff.
					 August 3, 1992;
Amended Eff. April 1, 1999;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Repealed Eff.
					 July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0200 - PREPAID PLANS › Section 22L .0202 - EXPIRED - ENROLLMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
Eff.
					 August 3, 1992;
Amended Eff. April 1, 1999;
Expired
					 Eff. September 1, 2015 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter L - MANAGED CARE AND PREPAID PLANS › Section .0200 - PREPAID PLANS › Section 22L .0203 - REPEALED - ACCESS TO CARE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 42 U.S.C.
					 1396u-2(b)(2)(B),(C);
Eff. August 3, 1992;
Amended Eff. April 1, 1999;
Repealed Eff. July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0100 - DRUG USE REVIEW BOARD › Section 22M .0101 - ESTABLISHMENT (TRANSFERRED TO 10A NCAC 25K .0301)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0100 - DRUG USE REVIEW BOARD › Section 22M .0102 - MEMBERSHIPS (TRANSFERRED TO 10A NCAC 25K .0302)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0100 - DRUG USE REVIEW BOARD › Section 22M .0103 - CHAIRMEN (TRANSFERRED TO 10A NCAC 25K .0303)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0100 - DRUG USE REVIEW BOARD › Section 22M .0104 - ACTIVITIES (TRANSFERRED TO 10A NCAC 25K .0304)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0200 - PROSPECTIVE DRUG REVIEW › Section 22M .0201 - PATIENT COUNSELING (TRANSFERRED TO 10A NCAC 25K .0401)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0300 - RETROSPECTIVE DRUG USE REVIEW › Section 22M .0301 - RETROSPECTIVE DRUG USE REVIEW (DUR) (TRANSFERRED TO 10A NCAC 25K .0501)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0300 - RETROSPECTIVE DRUG USE REVIEW › Section 22M .0302 - SCREENING AND PATTERN ANALYSIS (TRANSFERRED TO 10A NCAC 25K .0502)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0300 - RETROSPECTIVE DRUG USE REVIEW › Section 22M .0303 - INTERVENTIONS (TRANSFERRED TO 10A NCAC 25K .0503)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter M - DRUG USE REVIEW (DUR) › Section .0300 - RETROSPECTIVE DRUG USE REVIEW › Section 22M .0304 - COMPLIANCE MONITORING (TRANSFERRED TO 10A NCAC 25K .0504)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0100 - GENERAL › Section 22N .0101 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For the purpose
				  of this Subchapter, a "provider" is defined as in
				  G.S.
				  108C-2(10).
(b) For the purpose of this Subchapter, an
				  "owner" is defined as in
				  G.S.
				  108C-2(9).
Authority
					 G.S.
					 108A-54;
					 108C-2(9),(10);
					 143B-139.1;
					 42 C.F.R.
					 400.203;
					 42 C.F.R. 455.101;
Eff. July 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Amended Eff. July
					 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0100 - GENERAL › Section 22N .0102 - SIGNED AGREEMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Each provider shall sign a Provider Administrative
					 Participation Agreement with the Department and shall not be reimbursed for
					 services rendered prior to the effective date of the participation
					 agreement.
Authority
					 G.S.
					 108A-54;
					 143B-139.1; 42 C.F.R. Part 455,
					 Subpart E;
Eff. July 1, 2004;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0200 - ENTITIES LICENSED UNDER NCGS 122C OR NCGS 131D › Section 22N .0201 - REPEALED - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 143B-139.1;
Eff.
					 July 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Repealed Eff.
					 July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0200 - ENTITIES LICENSED UNDER NCGS 122C OR NCGS 131D › Section 22N .0202 - DISCLOSURE OF OWNERSHIP

Current through Register Vol. 39, No. 2, July 15, 2024
Providers who undergo a change in ownership as defined in
					 G.S.
					 108C-10 shall comply with the following
					 disclosure conditions:
(1) when
				  applying to participate in the North Carolina Medicaid program, the provider
				  shall supply the legal name and social security number of each individual who
				  is an owner;
(2) an enrolled
				  provider shall notify the Division in writing of a change in the legal name of
				  any owner. The notification shall be received within 30 calendar days of the
				  effective date of any change;
(3)
				  an enrolled provider shall notify the Division in writing if a new owner joins
				  the provider. The notification shall include the new owner's legal name and
				  social security number. The notification shall be received within 30 calendar
				  days of the effective date of any change; and
(4) an enrolled provider shall notify the
				  Division in writing if an owner withdraws his ownership interest in the
				  provider. The notification shall include the name of the departing owner and
				  shall be received within 30 calendar days of the effective date of any
				  change.
Authority
					 G.S.
					 108A-54;
					 108C-10;
					 143B-139.1;
					 42 C.F.R.
					 455.104;
					 42 C.F.R. 455.106;
Eff. July 1, 2004;
Readopted Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0200 - ENTITIES LICENSED UNDER NCGS 122C OR NCGS 131D › Section 22N .0203 - ENROLLMENT RESTRICTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Department
				  shall deny enrollment, including enrollment for new or additional services in
				  accordance with
				  G.S.
				  122C-23(e1) and
				  G.S.
				  131D-10.3(h).
(b) The Department may deny enrollment when
				  an applicant meets any of the following conditions:
(1) if the Department has initiated
				  revocation or summary suspension proceedings against any facility licensed
				  pursuant to G.S. 122C, Article 2, G.S. 131D, Articles 1 or 1A, or G.S. 110,
				  Article 7 that was previously held by the applicant and the applicant
				  voluntarily relinquished the license;
(2) there is a pending appeal of a denial,
				  revocation, or summary suspension of any facility licensed pursuant to G.S.
				  122C, Article 2, G.S. 131D, Articles 1 or 1A, or G.S. 110, Article 7 that is
				  owned by the applicant;
(3) the
				  applicant had an individual as part of their governing body or management who
				  previously held a license that was revoked or summarily suspended under G.S.
				  122C, Article 2, G.S. 131D, Articles 1 or 1A, and G.S. 110, Article 7 and the
				  rules adopted under these laws; or
(4) the applicant is an individual who has a
				  finding or pending investigation by the Health Care Personnel Registry in
				  accordance with G.S. 131E -256.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0300 - ENTITIES PROVIDING SPECIFIED HABILITATIVE AND REHABILITATIVE SERVICES › Section 22N .0301 - REPEALED - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 143B-139.1;
Eff.
					 July 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 22, 2015;
Repealed Eff.
					 July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter N - PROVIDER ENROLLMENT › Section .0300 - ENTITIES PROVIDING SPECIFIED HABILITATIVE AND REHABILITATIVE SERVICES › Section 22N .0302-.0303

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-54;
					 143B-139.1;
Eff.
					 July 1, 2004;
Repealed Eff. July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0101 - EXPIRED - HOSPITAL INPATIENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 108A-25(b);
					 108A-54;
					 42 C.F.R.
					 440.10;
Eff. February 1,
					 1976;
Readopted Eff. October 31, 1977;
Amended Eff.
					 January 1, 1984;
Expired Eff. September 1, 2015 pursuant to
					 G.S.
					 150B-21.3A.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0102 - HOSPITAL OUTPATIENT (TRANSFERRED TO 10A NCAC 25M .0301)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0103 - HOME HEALTH SERVICES (TRANSFERRED TO 10A NCAC 25O .0201(A))

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0104 - LABORATORY AND X RAY SERVICES (ITEMS (1)-(3) TRANSFERRED TO 10A NCAC 25P .0406 AND ITEMS (4)-(5) TRANSFERRED TO 10A NCAC 25U .0201))

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0105 - EYEGLASSES AND OPTOMETRIC SERVICES (TRANSFERRED TO 10A NCAC 25N .0301)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0106 - CHIROPRACTIC SERVICES (TRANSFERRED TO 10A NCAC 25P .0403)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0107 - MENTAL HEALTH CENTER SERVICES (TRANSFERRED TO 10A NCAC 25C .0201)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0108 - INTERMEDIATE CARE FACILITIES (TRANSFERRED TO 10A NCAC 25D .0201(A)-(B))

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0109 - HEARING AID SERVICES (TRANSFERRED TO 10A NCAC 25N .0201)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 22 - MEDICAL ASSISTANCE ELIGIBILITY › Subchapter O - MEDICAL ASSISTANCE PROVIDED › Section .0100 - GENERAL › Section 22O .0110 - AMBULANCE SERVICES (TRANSFERRED TO 10A NCAC 25W .0201)

Current through Register Vol. 39, No. 2, July 15, 2024