10A NCAC 22K .0102       AGREEMENT

(a)  The provider must agree to participate in training offered by the Division of Medical Assistance (DMA) or its agents and to make presumptive eligibility determinations based on the procedures and guidelines issued by the DMA.

(b)  The DMA may terminate the provider's agreement and authority to make presumptive determinations if the provider fails to make required referrals within five days or fails to follow procedures and guidelines resulting in eligibility denials for a majority of the provider's referrals.

(c)  Termination of the agreement will occur 30 calendar days following notification when termination is initiated by the DMA.


History Note:        Authority G.S. 108A‑25(b); 1987 Session Laws, c. 738; P.L. 99‑509;

Eff. June 1, 1988.