North Carolina Administrative Code

SECTION .0500 – UTILIZATION RULES FOR treatment FOR SUBSTANCE USE DISORDER 11 NCAC 23M .0501 treatment FOR SUBSTANCE USE DISORDER INVOLVING a targeted controlled substance (a) If a health care provider believes, in his or her medical opinion, that an employee may benefit from an …

CHAPTER 24 – PHARMACY BENEFITS MANAGEMENT SECTION .0100 - GENERAL PROVISIONS 11 NCAC 24 .0101 DEFINITIONS: LICENSE APPLICATIONS (a) The definitions contained in G.S. 58-56A-1, including subsequent amendments, are incorporated into this Chapter by reference. (b) The following defi…

11 NCAC 24 .0102 FEES (a) The initial application fee for a PBM license shall be two thousand dollars ($2,000). (b) The annual renewal fee for a PBM license shall be one thousand five hundred dollars ($1,500). History Note: Authority G.S. 58-2-40; 58-56A-2; Eff. September 1, 2025…

11 NCAC 24 .0103 FINANCIAL STATEMENTS The financial statements required by 11 NCAC 24 .0101(c)(6) shall include a balance sheet, a statement of operations, and a statement of cash flows for the PBM's two most recent fiscal years. Financial statements shall be prepared by an indep…

11 NCAC 24 .0104 DETERMINATION OF FINANCIAL RESPONSIBILITY In determining the financial responsibility of an applicant for a PBM license, the Department shall require that an applicant be solvent. In addition, the Department shall consider: (1) Liquidity; (2) Any internal control…

11 NCAC 24 .0105 CLAIM PROCESSING BY PBMS A PBM or an employee of a PBM does not have to have a license to adjust insurance claims for an insurer with which the PBM has a written agreement to provide claims processing services. History Note: Authority G.S. 58-2-40; 58-56A-1(4); 5…

11 NCAC 24 .0106 PAYMENT OF CLAIMS If claims filed with a PBM or insurer are not paid within 30 days after receipt of the initial claim by the PBM or the insurer, the PBM or the insurer shall at that time mail a claim status report to the claimant. History Note: Authority G.S. 58…

11 NCAC 24 .0107 GENERAL ADMINISTRATION Every PBM shall: (1) Establish a governing body that is authorized to set policy for the organization. (2) Maintain complete corporate records in a secure and accessible location. (3) Employ a management information system that is able to p…

11 NCAC 24 .0108 CLAIMS PROCESSING (a) Each PBM's claims processing service shall be supported by a set of written policies, procedures, and performance standards related to timeliness in payment of claims and its financial operations. (b) Each PBM shall develop and implement a c…

12 NCAC 01 .0105 RULE-MAKING AND ADMINISTRATIVE HEARING PROCEDURES History Note: Authority G.S. 17D-2; 43-3; 74A-1; 114-10; 114-12; 143A-50; 143A-51; 143A-52; 143A-54; 143A-55; 150A-11; 150A-14; Eff. September 29, 1980; Amended Eff. December 1, 1985; November 1, 1984; March 1, 19…

12 NCAC 01 .0106 ADA DISPUTE RESOLUTION PROCEDURE History Note: Authority G.S. 114-1; 114-1.1; 28 C.F.R. 35.107; Eff. January 1, 1994; Expired Eff. November 1, 2016 pursuant to G.S. 150B-21.3A.

12 NCAC 01 .0211 GRIEVANCE COMMITTEE History Note: Authority G.S. 114-1; 114-4; 114-4.4; 114-2B; 114-4.2C; 114-5; 126-5; 126-12; 126-16; 126-4(3); 126-4(4); 126-34 to 126-37; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Amended Eff. December 1, 1985; Expired Eff. Novemb…

12 NCAC 01 .0212 GRIEVANCE PROCEDURE History Note: Authority G.S. 114-1; 114-4; 114-4.4; 114-2B; 114-4.2C; 114-5; 126-4(3); 126-4(4); 126-5; 126-12; 126-16; 126-34 to 126-37; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Amended Eff. December 1, 1985; Repealed Eff. June …

12 NCAC 02A .0203 CONSENT JUDGMENTS History Note: Authority G.S. 114-2.2; Temporary Rule Eff. September 1, 1984 for a Period of 120 Days to Expire December 30, 1984; Eff. November 1, 1984; Amended Eff. July 1, 1993; Expired Eff. November 1, 2016 pursuant to G.S. 150B-21.3A.

SECTION .0300 - ORGANIZATION 12 NCAC 02A .0301 ADMINISTRATIVE DIVISION History Note: Authority G.S. 114-1, et seq.; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Amended Eff. November 1, 1984; Repealed Eff. January 1, 1986.

12 NCAC 02A .0302 DIVISION TWO History Note: Authority G.S. 114-1, et seq.; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Repealed Eff. November 1, 1984.

12 NCAC 02D .0203 TRANSFER OF ORGANIZATIONAL AUTHORITY History Note: Repealed Eff. April 1, 1981.

SUBCHAPTER 02G - ADMINISTRATIVE PROCEDURES RULES FOR FILING SECTION .0100 - GENERAL PROVISIONS This Section .0100 of Title 12, Chapter 2G, of the North Carolina Administrative Code (12 NCAC 2G); GENERAL PROVISIONS; has been transferred and recodified as Title 22, Chapter 1, of th…

SECTION .0200 - GENERAL FILING REQUIREMENTS 12 NCAC 02G .0201 FILING MANUAL History Note: Authority G.S. 114-2; 150A-59; 150A-60; Eff. February 1, 1976; Amended Eff. March 1, 1977; Readopted Eff. January 5, 1978; Amended Eff. March 15, 1980; Repealed Eff. July 1, 1982.

12 NCAC 02G .0206 CERTIFICATION OF REPEAL OF RULE FORM History Note: Authority G.S. 150A-11; 150A-58; 150A-60; Eff. February 1, 1976; Amended Eff. March 1, 1977; Readopted Eff. January 5, 1978; Amended Eff. March 15, 1980; Repealed Eff. July 1, 1982.

12 NCAC 02G .0211 DELEGATION OF AUTHORITY FOR ADOPTING RULES History Note: Authority G.S. 150A-60; Eff. March 15, 1980; Repealed Eff. July 1, 1982.

SECTION .0300 - CODIFICATION OF RULES 12 NCAC 02G .0301 CODIFICATION SYSTEM History Note: Authority G.S. 150A-60; Eff. February 1, 1976; Amended Eff. March 1, 1977; Readopted Eff. January 5, 1978; Amended Eff. July 1, 1982; Repealed Eff. November 1, 1984.

12 NCAC 02G .0302 TITLE SUBDIVISION History Note: Authority G.S. 150A-60; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Amended Eff. March 15, 1980; Repealed Eff. July 1, 1982.

12 NCAC 02G .0408 FILING REPEALED RULES History Note: Authority G.S. 150A-60; Eff. March 1, 1977; Readopted Eff. January 5, 1978; Amended Eff. July 1, 1982; March 15, 1980; Repealed Eff. November 1, 1984.

12 NCAC 02G .0411 ARRC OBJECTIONS NOTED IN RULES History Note: Authority G.S. 150A-63.1; Eff. April 15, 1980; Amended Eff. July 1, 1982; Repealed Eff. November 1, 1984.

SUBCHAPTER 2H - TORRENS ACT RULES AND FORMS SECTION .0100 - RULES 12 NCAC 02H .0101 NOTICE TO BE FILED WITH CLERK OF COURT Upon the filing of a petition for registration, the persons named upon whom process is served, and all who may come in and become parties, and those who may …

12 NCAC 02H .0102 DEPOSIT AND SURETY REQUIREMENTS A petitioner for registration, upon filing his petition, shall deposit with the clerk of the superior court the sum of twenty-five dollars ($25.00). If any surplus remains after the requirements of Chapter 90, Public Laws of 1913,…

12 NCAC 02H .0103 DUTIES OF EXAMINER OF TITLES Any examiner of titles appointed under said statute may examine titles assigned to him in any county. He shall not appear in or have any connection with any proceeding instituted under the provisions of this act, and he shall be subj…

12 NCAC 02H .0104 CHANGE OF ATTORNEYS If a party shall change his attorney, pending any proceeding, the name of the new attorney shall be substituted on the docket for that of the former attorney, and notice thereof given to any adverse party; and until such notice of the change …

12 NCAC 02H .0105 APPOINTMENT OF GUARDIAN AD LITEM In addition to making appointments of guardians ad litem in cases required by statute, whenever it shall appear that a minor is interested in any land in regard to which proceedings are pending, a guardian ad litem for such minor…

12 NCAC 02H .0106 CUSTODY OF DEPOSITIONS All depositions shall be opened and filed by the clerk when received. The deposition shall afterwards be in his custody or that of the examiner of titles, subject to the order of the court, as other documents in the case; and if not read o…

12 NCAC 02H .0107 NOTICE REQUIREMENTS Whenever, in any case, a notice given in accordance with Chapter 90 of the Public Laws of 1913 or the general forms of procedure, or otherwise, is held by the court to be insufficient, it may order such further notice as the case requires. Hi…

12 NCAC 02H .0108 AMENDMENT OF PLEADINGS AND SURVEY OF PROPERTY The court may in its discretion allow the parties to amend their pleadings, and order or permit pleadings to be filed, notices to be given, or any proceedings to be had, at other times than are provided in these rule…

12 NCAC 02H .0109 HEARING BEFORE EXAMINER OF TITLES When a petition shall be referred to an examiner he shall assign a time and place for hearing, which shall be not less than 10 days thereafter, and give notice thereof by mail not less than five days before such time, to the pet…

12 NCAC 02H .0110 PRELIMINARY REPORT OF EXAMINER When the examiner has prepared a draft copy of his report he shall notify the parties or their attorneys of the time and place, not less than three days before such time, when and where they may attend to hear the same, and suggest…

12 NCAC 02H .0111 FILING OF EXCEPTIONS TO REPORT Upon the filing of the examiner's report, the clerk shall forthwith give notice thereof by mail to all the parties interested, or their agents or attorneys, notifying them to appear on or before a day named, not less than seven day…

12 NCAC 02H .0112 NOTICE OF AND ARGUMENT PURSUANT TO EXCEPTIONS When exceptions shall be taken to the report notice thereof shall forthwith be given by mail to the adverse parties, their agents or attorneys, and the exceptions shall then be set down for argument. In every case th…

12 NCAC 02H .0113 DATE OF TRANSCRIPTION OF DECREE The date of the transcription of the decree into the registration book shall be taken to be the time at which the register of deeds receives the certified copy of the decree for transcription; and he shall minute upon such copy an…

12 NCAC 02H .0114 METHOD OF CONVEYANCE When a deed of conveyance of registered land is presented to the clerk of the court in the county where the land lies, such clerk shall not receive the same or direct its registration and the issue of the certificate of title for such land t…

12 NCAC 02H .0115 PARTIAL CONVEYANCE OF REGISTERED LAND When the owner of registered land transfers a part of it, his transfer shall be accompanied by a plan, showing the land transferred, which shall be signed by such owner and by his grantee as correct. The register of deeds sh…

12 NCAC 02H .0116 NOTATION OF TERMINATION OF LEASES When a lease has been noted upon the registration book and upon the owner's duplicate certificate as an incumbrance, and the lease has been determined by lapse of time, merger, surrender, reentry or otherwise, the register of de…

12 NCAC 02H .0117 OATH PURSUANT TO LETTERS OF ATTORNEY When an instrument executed by an attorney under letters of attorney duly acknowledged is filed or presented for registration, the attorney shall make and subscribe an oath before a justice of the peace, or other officer empo…

12 NCAC 02H .0118 CORRECTION OF NAME ON CERTIFICATE A registered owner or mortgagee whose name has been changed since the entry of a certificate, either by marriage, divorce or adoption, or whose name was by mistake wrongly expressed in the certificate, may, upon satisfying the c…

SECTION .0200 - FORMS 12 NCAC 02H .0201 AVAILABILITY OF FORMS (a) Copies of the forms to be used in Torrens proceedings are available upon request by writing to: Office of the Attorney General Public Lands and Contracts Section Post Office Box 629 Raleigh, North Carolina 27602 (b…

12 NCAC 02H .0202 DESCRIPTION OF FORMS History Note: Authority G.S. 43-3; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Repealed Eff. July 16, 1988 in accordance with G.S. 150B-59(c).

SUBCHAPTER 2I - COMPANY AND RAILROAD POLICE SECTION .0100 - GENERAL PROVISIONS 12 NCAC 02I .0101 LOCATION The administrative office for the commissioning of company police officers and the certification of company police agencies is located in the office of the Criminal Justice S…

12 NCAC 02I .0102 PURPOSES The purposes of the Attorney General's Office in granting company police commissions are: (1) to allow those organizations and corporations described in G.S. 74E-2 to apply for certification as a company police agency; (2) to allow those organizations a…

12 NCAC 02I .0103 ADMINISTRATIVE STAFF The administrative staff responsible for company police commissions and company police agency certifications consists of assigned personnel from the Criminal Justice Standards Division. The duties of this staff are to carry out the policies …

12 NCAC 02I .0104 DEFINITIONS In addition to any definitions set forth in G.S. 74E, the following definitions will apply throughout this Chapter, unless the context clearly defines otherwise: (1) "Agency Records" means those records specified pursuant to this Subchapter and that …

SECTION .0200 - COMMISSIONING 12 NCAC 02I .0201 ELIGIBILITY History Note: Authority G.S. 74A-1; 143A-54; Eff. February 1, 1976; Readopted Eff. January 5, 1978; Repealed Eff. November 1, 1984.