11 N.C. Admin. Code 20.0501

Current through Register Vol. 39, No. 9, November 1, 2024

Section 20 .0501 - PROGRAM

(a) Each HMO shall have a program designed to monitor, evaluate, improve, and promote:

(1) The quality of health care and quality of services provided through its network of providers; and

(2) Its policies, procedures, and performance.

(b) The program shall identify those areas and aspects of health care covered by the HMO's benefit plan or plans that are included in its quality management program.

11 N.C. Admin. Code 20 .0501

Authority G.S. 58-2-40(1); 58-67-5; 58-67-10; 58-67-20; 58-67-35; 58-67-65; 58-67-140; 58-67-150;
Eff. October 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 16, 2014.

Authority G.S. 58-2-40(1); 58-67-5; 58-67-10; 58-67-20; 58-67-35; 58-67-65; 58-67-140; 58-67-150;
Eff. October 1, 1996.