Statutes, codes, and regulations
NORTH CAROLINA ADMINISTRATIVE CODE
Title 10A - HEALTH AND HUMAN SERVICESChapter 45 - GENERAL PROCEDURES FOR PUBLIC HEALTH PROGRAMSSubchapter A - PAYMENT PROGRAMS
Section .0300 - ELIGIBILITY PROCEDURES
Section 45A .0305 - DISQUALIFICATION

10A N.C. Admin. Code 45A.0305

Download
PDF
Current through Register Vol. 39, No. 9, November 1, 2024
Section 45A .0305 - DISQUALIFICATION
(a) A provider shall be disqualified from all Department payment programs upon disqualification from Medicaid, Medicare, or the Child Health Services Block Grant Program (Title V of the Social Security Act).
(b) The period of disqualification shall be equal to the period specified by the federal government for disqualification from Medicaid, Medicare, or the Child Health Services Block Grant Program (Title V of the Social Security Act).
(c) Written notification of disqualification from Department payment programs shall be given to the provider. The notification shall inform the provider of the provider's right to appeal the disqualification.
(d) Authorizations for services provided prior to the date of disqualification from Department programs shall be honored by the Department. Authorizations for services which have not been provided prior to disqualification shall be cancelled unless the provider has made a financial commitment based upon the authorization.

10A N.C. Admin. Code 45A .0305

Authority G.S. 130A-5(3); 130A-124; 130A-127; 130A-129; 130A-177; 130A-205;
Eff. March 1, 1989;
Transferred and Recodified from 10 NCAC 04C .0306 Eff. April 4, 1990;
Amended Eff. December 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 13, 2015.
Authority G.S. 130A-5(3); 130A-124; 130A-127; 130A-129; 130A-177; 130A-205;
Eff. March 1, 1989;
Transferred and Recodified from 10 NCAC 04C .0306 Eff. April 4, 1990;
Amended Eff. December 1, 1990.