North Carolina Administrative Code

10A NCAC 22L .0203 ACCESS TO CARE History Note: 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 April 1, 1999; Repealed Eff.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.

SUBCHAPTER 22M - DRUG USE REVIEW (DUR) SECTION .0100 - DRUG USE REVIEW BOARD 10A NCAC 22M .0101 ESTABLISHMENT (transferred to 10A NCAC 25K .0301)

10A NCAC 22M .0102 MEMBERSHIPS (transferred to 10A NCAc 25K .0302)

10A NCAC 22M .0103 CHAIRMEN (Transferred to 10A NCAC 25K .0303)

10A NCAC 22M .0104 ACTIVITIES (transferred to 10A NCAC 25K .0304)

SECTION .0200 - PROSPECTIVE DRUG REVIEW 10A NCAC 22M .0201 PATIENT COUNSELING (Transferred to 10A NCAC 25K .0401)

SECTION .0300 - RETROSPECTIVE DRUG USE REVIEW 10A NCAC 22M .0301 RETROSPECTIVE DRUG USE REVIEW (DUR) (Transferred to 10A NCAC 25K .0501)

10a NCAC 22M .0302 SCREENING AND PATTERN ANALYSIS (Transferred to 10A NCAC 25K .0502)

10A NCAC 22M .0303 INTERVENTIONS (Transferred to 10A NCAC 25K .0503)

10A NCAC 22M .0304 COMPLIANCE MONITORING (Transferred to 10A NCAc 25K .0504)

SUBCHAPTER 22N – PROVIDER ENROLLMENT SECTION .0100 – GENERAL 10A NCAC 22N .0101 DEFINITIONS (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). History Note: Aut…

10A NCAC 22N .0102 SIGNED AGREEMENTS 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. History Note: Authority G.S. 108A-54; …

SECTION .0200 - ENTITIES LICENSED UNDER NCGS 122C OR NCGS 131D 10A NCAC 22N .0201 DEFINITIONS History Note: 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 August 22, 2015; Repealed Eff…

10A NCAC 22N .0202 DISCLOSURE OF OWNERSHIP 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 na…

10A NCAC 22N .0203 ENROLLMENT RESTRICTIONS (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 …

SECTION .0300 – ENTITIES PROVIDING SPECIFIED HABILITATIVE AND REHABILITATIVE SERVICES 10A NCAC 22N .0301 DEFINITIONS History Note: 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…

SUBCHAPTER 22O - MEDICAL ASSISTANCE PROVIDED SECTION .0100 - GENERAL 10A NCAC 22O .0101 HOSPITAL INPATIENT History Note: 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. Septem…

10A NCAC 22O .0102 HOSPITAL OUTPATIENT (Transferred to 10A NCAC 25M .0301)

10A NCAC 22O .0103 HOME HEALTH SERVICES (transferred to 10a ncac 25O .0201(a))

10A NCAC 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))

10A NCAC 22O .0105 EYEGLASSES AND OPTOMETRIC SERVICES (transferred to 10A NCAC 25N .0301)

10A NCAC 22O .0106 CHIROPRACTIC SERVICES (Transferred to 10A NCAC 25P .0403)

10A NCAC 22O .0107 MENTAL HEALTH CENTER SERVICES (transferred to 10A NCAC 25C .0201)

10A NCAC 22O .0108 INTERMEDIATE CARE FACILITIES (transferred to 10A NCAC 25D .0201(a)-(b))

10A NCAC 22O .0109 HEARING AID SERVICES (TRANSFERRED TO 10A NCAC 25N .0201)

10A NCAC 22O .0110 AMBULANCE SERVICES (transferred to 10A ncac 25w .0201)

10A NCAC 22O .0111 INPATIENT PSYCHIATRIC HOSPITAL SERVICES (Transferred to 10A NCAC 25C .0301)

10A NCAC 22O .0112 PSYCHIATRIC ADMISSION CRITERIA/MEDICAID BENEFICIARIES UNDER AGE 21 History Note: Authority G.S. 108A-25(b); 108A-54; 42 C.F.R. 441, Subpart D; 42 C.F.R. 441.151; Eff. October 1, 1993; Amended Eff. February 1, 1996; Repealed Eff. July 1, 2018.

10A NCAC 22O .0113 NC MEDICAID CRITERIA FOR CONTINUED ACUTE STAY IN AN INPATIENT PSYCHIATRIC FACILITY (Transferred to 10A NCAC 25C .0302)

10A NCAC 22O .0114 NORTH CAROLINA SPECIALTY HOSPITAL SERVICES (Transferred to 25M .0201(e))

10A NCAC 22O .0115 CLINIC SERVICES (transferred to 10A NCAC 25P .0402)

10a ncac 22o .0116 skilled nursing facility (transferred to 10a ncac 25m .0401(a)-(c))

10a NCAC 22O .0117 ABORTION (Transferred to 10A NCAC 25P .0405)

10A NCAC 22O .0118 PHARMACY SERVICES (transferred to 10A NCAc 25K .0201)

10A NCAC 22O .0119 OUT-OF-STATE SERVICES (transferred to 10A NCAc 25S .0201)

10A NCAC 22O .0120 PERSONAL CARE SERVICES (transferred to 10A NCAC 25O .0202(a)-(b))

10A NCAC 22O .0121 DURABLE MEDICAL EQUIPMENT History Note: Authority G.S. 108A-25(b); 42 C.F.R. 440.70(b)(3); Eff. March 1, 1990; Amended Eff. March 1, 1993; Recodified from 10 NCAC 26B .0120 Eff. October 1, 1993; Recodified from 10 NCAC 26B .0121 Eff. January 1, 1998; Repealed E…

10A NCAC 22O .0122 PRIVATE DUTY NURSING (transferred to 10A NCAC 25O .0204)

10A NCAC 22O .0123 Case MGMT SVCS/Adults/Children AT-Risk/abuse/neglect/expoitation (transferred to 10a ncac 25f .0201)

10A NCAC 22O .0124 HIV CASE MANAGEMENT (Transferred to 10A NCAC 25F .0301)

10A NCAC 22O .0125 HOME INFUSION THERAPY (transferred to 10A NCAC 25O .0203)

SECTION .0200 - DENTAL SERVICES 10A NCAC 22O .0201 DEFINITIONS (transferred to 10A NCAC 25H .0201)

10a NCAC 22O .0202 STANDARDS FOR PARTICIPATION (Transferred to 10A NCAC 25H .0203)

10a NCAC 22O .0203 ELIGIBILITY (Transferred to 10A NCAC 25H .0202)

10A NCAC 22O .0204 AMOUNT: DURATION: AND SCOPE OF SERVICES (Transferred to 10A NCAC 25H .0204)

10a NCAC 22O .0205 RESTRICTIONS AND PRIOR APPROVAL (Transferred to 10a NCAC 25H .0205)

10A NCAC 22O .0206 GUIDELINES ON SERVICES (Transferred to 10A NCAC 25H .0301)

10a NCAC 22O .0207 SPECIFIC GUIDELINES (Transferred to 10a NCAC 25H .0302)

10A NCAC 22O .0208 ANESTHESIA (Transferred to 10A NCAC 25H .0303)

10A NCAC 22O .0209 ANALGESIA (Transferred to 10A NCAC 25H .0304)