10A ncac 63G .0105       RETROACTIVE ELIGIBILITY

The division may issue authorizations to pay for emergency inpatient and outpatient surgery and hospital services plus other services or treatment provided prior to determining eligibility if:

(1)           services were received no more than 90 days before application;

(2)           the person would have been eligible at the time the services were performed; and

(3)           the services were those covered by this program.

Surgery and hospitalization not of an emergency nature requires prior approval.


History Note:        Authority G.S. 111‑8; 143B‑157;

Eff. February 1, 1976;

Readopted Eff. November 16, 1977;

Amended Eff. August 1, 2002; July 1, 1987; February 1, 1986;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. November 23, 2015.