11 NCAC 20 .0203             CHANGES REQUIRING APPROVAL

All material changes to an approved contract form shall be filed with the Division for approval before use. For the purpose of this Rule, a "material change" includes a change in:

(1)           the means of calculating payment to the provider; for example, change from fee for service to capitation;

(2)           the distribution of risk between parties; or

(3)           the delegation of clinical and administrative responsibilities.

History Note:        Authority G.S. 58-2-40(1); 58-65-25; 58-67-10; 58-67-20; 58-67-35; 58-67-115; 58-67-120; 58-67-150;

Eff. October 1, 1996;

Readopted Eff. December 1, 2017.