SUBCHAPTER 22g – REIMBURSEMENT PLANS

 

SECTION .0100 – REIMBURSEMENT FOR NURSING FACILITY SERVICES

 

10A NCAC 22G .0101      REIMBURSEMENT PRINCIPLES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Amended Eff. March 22, 1978;

Emergency Amendment [(a), (b), (c), (g), (m), (o), (p), (q)] Eff. April 1, 1978 for a Period of 120 Days to Expire on July 30, 1978;

Emergency Amendment [(a), (b), (c), (g), (m), (o), (p), (q)] Expired Eff. July 30, 1978;

Amended Eff. August 1, 1982;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Amended Eff. April 1, 1992; October 1, 1991; January 28, 1985;

Temporary Amendment Eff. June 26, 2003;

Temporary Amendment Expired April 27, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0102      RATE SETTING METHODS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 29 C.F.R. 1910, Subpart Z; 42 C.F.R. 447, Subpart C; S.L. 1991, c. 689, s. 95;

Eff. January 1, 1978;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Temporary Amendment Eff. October 1, 1991 for a Period of 180 Days to Expire on March 31, 1992;

Amended Eff. April 1, 1992;

Temporary Amendment Eff. July 1, 1992 for a Period of 180 Days to Expire on December 31, 1992;

Amended Eff. May 1, 1995; February 1, 1993; January 1, 1993;

Temporary Amendment Eff. January 22, 1998;

Amended Eff. April 1, 1999;

Temporary Amendment Eff. November 9, 2001;

Temporary Amendment Expired August 30, 2002;

Amended Eff. April 1, 2003;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. January 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0103      REASONABLE AND NON‑ALLOWABLE COSTS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Amended Eff. January 4, 1993; October 1, 1991; November 1, 1988; January 28, 1985;

Temporary Amendment Eff. August 3, 2004;

Amended January 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10a NCAC 22G .0104      COST REPORTING: AUDITING

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Amended Eff. March 22, 1978;

Emergency Amendment [(a), (h)] Eff. April 1, 1978 for a period of 120 days to expire on July 30, 1978;

Emergency Amendment [(a), (h)] Expired Eff. July 30, 1978;

Temporary Amendment Eff. October 1, 1984 for a period of 120 days to expire on January 28, 1985;

Amended Eff. August 1, 1998; June 1, 1995; January 4, 1993; October 1, 1991; December 1, 1988;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. January 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0105      case-mix index calculation

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S. L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Amended Eff. March 25, 1980;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Amended Eff. March 1, 1994; April 1, 1988; January 28, 1985;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. January 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0106      RECONSIDERATION REVIEWS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1978;

Temporary Amendment Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Amended Eff. January 4, 1993; November 1, 1991; May 1, 1990; June 1, 1989;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. February 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10a NCAC 22G .0107      PAYMENT ASSURANCE

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; Section 95 of Chapter 689, 1991 Session Laws; 42 C.F.R. 447, Subpart C;

Temporary Rule Eff. October 1, 1984 for a Period of 120 Days to Expire on January 28, 1985;

Eff. January 28, 1985;

Amended Eff. December 1, 1988;

Temporary Amendment Eff. August 1, 1991 For a Period of 180 Days to Expire on January 31, 1992;

Amended Eff. February 1, 1992; October 1, 1991;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. January 1, 2005;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0108      REIMBURSEMENT METHODS FOR STATE‑OPERATED FACILITIES

The Division's reimbursement methodology is set forth in the Medicaid State Plan. Any payments in excess of costs shall be refunded to the Division. Any costs in excess of payments shall be paid to the provider.

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1992;

Temporary Amendment Eff. August 3, 2004;

Amended Eff. January 1, 2005;

Readopted Eff. July 1, 2018.

 

10A NCAC 22G .0109      NURSING HOME PROVIDER ASSESSMENT

(a)  In accordance with 42 USC 1396b(w) and 42 CFR, Part 433, Subpart B, which are adopted and incorporated by reference with subsequent changes or amendments; and consistent with the CMS Federal Waiver approved April 5, 2004 with an effective date of October 1, 2003, which is adopted and incorporated by reference with subsequent changes or amendments, a monthly nursing facility assessment based on all occupied nursing facility bed days of service shall be imposed on all nursing bed days in licensed nursing facilities, except:

(1)           any nursing facility bed day of service provided by a Continuing Care Retirement Community (CCRC), as defined by G.S. 58-64 and licensed by the North Carolina Department of Insurance; or

(2)           any nursing facility bed day of service paid for under the Medicare program established under Title XVIII of the Social Security Act.

A copy of the CMS Federal Waiver may be obtained by contacting the Division of Health Benefits, 2501 Mail Service Center, Raleigh, North Carolina 27699-2501, (919) 855-4000. Copies of 42 USC 1396b(w) and 42 CFR, Part 433, Subpart B are available free of charge at http://uscode.house.gov/ and https://www.ecfr.gov/, respectively.

(b)  The assessment is payable monthly and due to the Department of Health and Human Services or designee of the Department within 15 days of the last day of the reporting month. Facilities shall submit payment and an account of all actual patient days during the month. Failure to provide accurate reporting of days, and payment of assessment within 15 days of the last day of the reporting month shall result in a 10 percent reduction in facility rates for Medicaid participating facilities and recoupment.

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; S.L. 2003-284, Sec. 10.28; CMS Waiver approved

April 5, 2004; 42 CFR Part 433, Subpart B; 42 USC 1396b(w);

Temporary Adoption Eff. August 3, 2004;

Eff. January 1, 2005;

Readopted Eff. July 1, 2018;

Amended Eff. March 1, 2020.

 

10A NCAC 22G .0110      DEFINITIONS

"Public nursing facility", as used in 10A NCAC 22G, means any nursing facility that is:

(1)           Owned or operated by the State or any department or instrumentality of the State or by county, city, hospital district, or hospital authority; or

(2)           Is operated by a nonprofit corporation or association, a majority of whose board of directors or trustees are appointed by the State or any department or instrumentality of the State or by the governing body of a county, city, hospital district, or hospital authority; or

(3)           Is operated by a hospital that is a "public hospital" under G.S. 159-39(a); or

(4)           Is operated by a hospital that has verified its status by certifying State, local, hospital district or authority governmental control on the most recent version of the Form CMS 1514; or

(5)           Is a facility to which the State or any department or instrumentality of the State or a city or a county makes current appropriations (other than appropriations for the cost of medical care to prisoners or indigents).

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; 159-39(a);

Temporary Adoption Eff. August 3, 2004;

Eff. January 1, 2005;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 22, 2015.

 

section .0200 – hospital inpatient reimbursement plan

 

10A NCAC 22G .0201      REIMBURSEMENT PRINCIPLES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0202      DRG RATE SETTING METHODOLOGY

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. March 1, 1995;

Temporary Amendment Eff. January 22, 1998;

Amended Eff. April 1, 1999;

Temporary Amendment Eff. November 9, 2001;

Temporary Amendment Expired August 30, 2002;

Amended Eff. August 1, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A ncac 22G .0203      EXCEPTIONS TO DRG REIMBURSEMENT

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55(c); 42 C.F.R. 447, Subpart C; 42 C.F.R. 447.321;

Eff. February 1, 1995;

Temporary Amendment Eff. September 15, 1995, for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Amended Eff. January 1, 1996;

Temporary Amendment Eff. September 25, 1996;

Temporary Amendment Eff. September 30, 1997;

Temporary Amendment Expired July 31, 1998;

Temporary Amendment Eff. September 16, 1998;

Temporary Amendment Expired June 13, 1999;

Temporary Amendment Eff. September 22, 1999;

Temporary Amendment Expired July 11, 2000;

Temporary Amendment Eff. June 13, 2001; September 21, 2000;

Temporary Amendment Eff. May 15, 2002;

Amended Eff. April 1, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0204      DISPROPORTIONATE SHARE HOSPITALS (DSH)

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Amended Eff. July 1, 1995;

Temporary Amendment Eff. September 15, 1995, for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Temporary Amendment Eff. September 29, 1995, for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Amended Eff. January 1, 1996;

Temporary Amendment Eff. September 16, 1998; September 30, 1997; April 15, 1997; September 25, 1996;

Temporary Amendment Expired on June 13, 1999;

Temporary Amendment Eff. September 22, 1999;

Temporary Amendment Expired on July 11, 2000;

Temporary Amendment Eff. May 15, 2002; June 1, 2001; December 10, 2001; September 21, 2000;

Amended Eff. August 1, 2004; April 1, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0205      OUT OF STATE HOSPITALS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A ncac 22G .0206      SPECIAL SITUATION

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447 Subpart C;

Eff. February 1, 1995;

Temporary Amendment Eff. December 10, 2001;

Temporary Amendment Expired September 29, 2002;

Amended Eff. August 1, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0207      COST REPORTING AND AUDITS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0208      ADMINISTRATIVE RECONSIDERATION REVIEWS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Repealed Eff. July 1, 2018.

 

10A NCAC 22G .0209      BILLING STANDARDS

10A NCAC 22G .0210      PAYMENT OF MEDICARE PART A DEDUCTIBLES

10A NCAC 22G .0211      PAYMENT ASSURANCES

10A NCAC 22G .0212      PROVIDER PARTICIPATION

10A NCAC 22G .0213      PAYMENT IN FULL

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. February 1, 1995;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

SECTION .0300 ‑ ICF‑MR PROSPECTIVE RATE PLAN

 

10A NCAC 22G .0301      PAYMENT FOR SERVS‑PROSPECTIVE REIMBURSEMENT PLAN ICF‑MR FACILITIES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1982;

Temporary Amendment Eff. July 8, 1993 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Amended Eff. November 1, 1993;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0302      REPORTING REQUIREMENTS

 

History Note:        Temporary Amendment Eff. July 8, 1993, for a period of 180 days or until the permanent rule becomes effective, whichever is sooner.

Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; 42 C.F.R. 447, Subpart C;

Eff. January 1, 1982;

Amended Eff. August 1, 1995; November 1, 1993; May 1, 1990; April 1, 1988;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0303      REQUIREMENTS FOR FINANCIAL RECORDS

 

History Note:        Temporary Amendment Eff. July 8, 1993, for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Temporary Amendment Eff. July 1, 1992 for a period of 180 days to expire on

December 31, 1992;

Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. Part 447, Subpart C;

Eff. January 1, 1982;

Amended Eff. November 1, 1993; January 4, 1993; January 1, 1993; December 1, 1989;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0304      RATE SETTING METHOD FOR NON-STATE FACILITIES

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; 42 C.F.R. Part 447, Subpart C;

Eff. December 1, 1984;

Amended Eff. March 1, 1988; January 1, 1987;

Temporary Amendment Eff. July 8, 1993 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Amended Eff. August 1, 1995; November 1, 1993;

Temporary Amendment Eff. September 8, 1999; August 7, 1998;

Amended Eff. March 19, 2001; August 1, 2000;

Temporary Amendment Eff. December 10, 2001;

Temporary Amendment Expired September 29, 2002;

Amended Eff. August 1, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0305      ALLOWABLE COSTS

10A NCAC 22G .0306      PAYMENT ASSURANCE

10A NCAC 22G .0307      REIMBURSEMENT METHODS FOR STATE‑OPERATED FACILITIES

10A NCAC 22G .0308      RATE APPEALS

10A NCAC 22G .0309      AUDITS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 447, Subpart C;

Temporary Adoption Eff. July 8, 1993 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Eff. November 1, 1993;

Amended Eff. August 1, 1995;

Temporary Amendment Eff. June 26, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

section .0400 - PROVIDER FEE SCHEDULES

 

10A ncac 22G .0401      PHYSICIAN’S FEE SCHEDULE

 

History Note:        Authority G.S. 108A-25(b);

Eff. October 1, 1982;

Amended Eff. July 1, 1997; July 1, 1995; January 4, 1993; June 1, 1990; December 1, 1988;

Temporary Amendment Eff. July 22, 1998; January 22, 1998;

Amended Eff. April 1, 1999;

Temporary Amendment Eff. January 1, 2000 (This temporary amendment amends and replaces a permanent rulemaking originally proposed to be effective August 2000);

Amended Eff. March 19, 2001;

Temporary Amendment Eff. September 10, 2001;

Temporary Amendment Expired June 28, 2002;

Amended Eff. April 1, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A ncac 22G .0402      OTHER SERVICES PERFORMED BY PHYSICIANS AND OTHER PRACTITIONERS

 

History Note:        Authority G.S. 108A‑25(b); S.L. 1985, c. 479, s. 86;

Eff. January 4, 1993;

Temporary Amendment Eff. March 7, 2002;

Temporary Amendment Expired December 27, 2002;

Amended Eff. August 1, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A;

 

section .0500 – reimbursement for services

 

10a NCAC 22G .0501      CLINIC SERVICES

 

History Note:        Authority G.S. 108A‑25(b); S.L. 1985, c. 479, s. 86;

Eff. February 1, 1984;

Temporary Amendment Eff. November 9, 2001;

Temporary Amendment Expired August 30, 2002;

Amended Eff. April 1, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10a NCAC 22G .0502      MENTAL HEALTH CLINIC SERVICES

 

History Note:        Authority G.S. 108A‑25(b); S.L. 1985, c. 479, s. 86;

Eff. February 1, 1984;

Repealed Eff. July 1, 2018.

 

10A NCAC 22G .0503      INPATIENT HOSPITAL: INAPPROPRIATE LEVEL OF CARE

 

History Note:        Authority G.S. 108A‑25(b); 42 C.F.R. 447.253; S.L. 1985, c. 479, s. 86;

Eff. May 1, 1984;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0504      HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH PLANS

Reimbursement to Health Maintenance Organizations and Prepaid Health Plans for services rendered shall be paid as a monthly capitation fee developed by the Division and set out in contract with the Health Maintenance Organization or Prepaid Health Plan.

 

History Note:        Authority G.S. 108A‑25(b); 108A-54; 108A-55; S.L. 1985, c. 479, s. 86; 42 C.F.R. Part 434; 42 C.F.R. Part 438.6;

Eff. August 1, 1984;

Amended Eff. February 1, 1985;

Readopted Eff. July 1, 2018.

 

10A ncac 22G .0505      PERSONAL CARE SERVICES

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; 131D-4.1; 131D-4.2; S.L. 1995 c. 507, s. 23.10; 42 C.F.R. 440.170(f);

Eff. January 1, 1986;

Temporary Amendment Eff. April 22, 1996; January 9, 1997;

Amended Eff. August 1, 1998;

Temporary Amendment Eff. January 1, 2000;

Temporary Amendment Expired on October 28, 2000;

Temporary Amendment Eff. July 1, 2002;

Amended Eff. August 1, 2002;

Temporary Amendment Eff. January 13, 2003;

Amended Eff. August 1, 2004;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0506      INDEPENDENT LABORATORY SERVICES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; P.L. 93‑369; P.L. 99‑272; 42 C.F.R. 447.10; 42 C.F.R. 447.342;

Eff. March 1, 1987;

Amended Eff. September 1, 1991;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0507      DURABLE MEDICAL EQUIPMENT AND RELATED SUPPLIES

 

History Note:        Authority G.S. 108A‑25(b); 42 C.F.R. 447, Subpart D; 1991 S.L, s. 95, c. 689;

Eff. March 1, 1990;

Temporary Amendment Eff. August 1, 1991 for a period of 180 days to expire on

January 31, 1992;

Amended Eff. December 1, 1995; February 1, 1992;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0508      PRIVATE DUTY NURSING

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 42 C.F.R. 440.80;

Eff. January 1, 1994;

Temporary Amendment Eff. December 20, 2002; July 1, 2002;

Temporary Amendment Expired November 28, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0509      REIMBURSEMENT PRINCIPLES, HEARING AIDS/ACCESSORIES/BATTERIES

 

History Note:        Authority G.S. 108A-25(b); 108A-54;

Eff. January 4, 1993;

Recodified from 10 NCAC 26H .0509 Eff. January 1, 1994;

Repealed Eff. July 1, 2018.

 

10A NCAC 22G .0510      CASE MANAGEMENT SERVICES

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 1915 (g) of the Social Security Act;

Eff. April 1, 1994;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

SECTION .0600 ‑ HOME HEALTH PROSPECTIVE REIMBURSEMENT

 

10A NCAC 22G .0601      REIMBURSEMENT PRINCIPLES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 440.70;

Eff. October 1, 1987;

Amended Eff. October 1, 1992;

Temporary Amendment Eff. August 1, 1991 for a period of 180 days to expire on

January 31, 1992;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10a NCAC 22G .0602      REIMBURSEMENT METHODS

 

History Note:        Authority G.S. 108A-25(b); 108A-54; 108A-55; S.L. 1985, c.479, s. 86; 42 C.F.R. 440.70;

Eff. October 1, 1987;

Amended Eff. October 1, 1992; May 1, 1990;

Temporary Amendment Eff. October 4, 1996;

Amended Eff. April 1, 1997;

Temporary Amendment Eff. July 25, 1997;

Amended Eff. August 1, 1998;

Temporary Amendment Eff. November 9, 2001;

Temporary Amendment Expired August 30, 2002;

Amended Eff. April 1, 2003;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0603      APPEALS

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985. c. 479, s. 86; 42 C.F.R. 440.70;

Eff. October 1, 1987;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0604      COST REPORTING AND AUDITING

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S.L. 1985, c. 479, s. 86; 42 C.F.R. 440.70;

Eff. October 1, 1987;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.

 

10A NCAC 22G .0605      PAYMENT ASSURANCES

 

History Note:        Authority G.S. 108A‑25(b); 108A‑54; 108A‑55; S. L. 1985, c. 479, s. 86; 42 C.F.R. 440.70;

Eff. October 1, 1987;

Amended Eff. October 1, 1992; May 1, 1990;

Expired Eff. September 1, 2015 pursuant to G.S. 150B-21.3A.