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North Carolina Administrative Code (Last Updated: November 13, 2014) |
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TITLE 10A. HEALTH AND HUMAN SERVICES |
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CHAPTER 22. MEDICAL ASSISTANCE ELIGIBILITY |
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SUBCHAPTER F. PROGRAM INTEGRITY |
| 10A NCAC 22F .0101. SCOPE |
| 10A NCAC 22F .0102. ORGANIZATION |
| 10A NCAC 22F .0103. FUNCTIONS |
| 10A NCAC 22F .0104. PREVENTION |
| 10A NCAC 22F .0105. DETECTION |
| 10A NCAC 22F .0106. CONFIDENTIALITY |
| 10A NCAC 22F .0107. RECORD RETENTION |
| 10A NCAC 22F .0201. DEFINITION OF PROVIDER FRAUD |
| 10A NCAC 22F .0202. INVESTIGATION |
| 10A NCAC 22F .0203. REFERRAL TO LAW ENFORCEMENT AGENCY |
| 10A NCAC 22F .0301. DEFINITION OF PROVIDER ABUSE |
| 10A NCAC 22F .0302. INVESTIGATION |
| 10A NCAC 22F .0401. PURPOSE |
| 10A NCAC 22F .0402. RECONSIDERATION REVIEW FOR PROGRAM ABUSE |
| 10A NCAC 22F .0403. PROCESS |
| 10A NCAC 22F .0501. GENERAL |
| 10A NCAC 22F .0502. PEER REVIEW ESTABLISHED |
| 10A NCAC 22F .0503. CHOICE OF PROCEDURES |
| 10A NCAC 22F .0504. COMPOSITION OF PEER REVIEW BOARD |
| 10A NCAC 22F .0505. NOTICE OF PEER REVIEW |
| 10A NCAC 22F .0506. VENUE |
| 10A NCAC 22F .0507. DOCUMENTATION |
| 10A NCAC 22F .0508. PEER REVIEW PROCEDURES |
| 10A NCAC 22F .0509. DISQUALIFICATION OF BOARD MEMBERS |
| 10A NCAC 22F .0510. FAILURE OF PROVIDER TO ATTEND THE REVIEW |
| 10A NCAC 22F .0601. RECOUPMENT |
| 10A NCAC 22F .0602. ADMINISTRATIVE SANCTIONS AND REMEDIAL MEASURES |
| 10A NCAC 22F .0603. PROVIDER LOCK-OUT |
| 10A NCAC 22F .0604. WITHHOLDING OF MEDICAID PAYMENTS |
| 10A NCAC 22F .0605. TERMINATION |
| 10A NCAC 22F .0606. TECHNIQUE FOR PROJECTING MEDICAID OVERPAYMENTS |
| 10A NCAC 22F .0701. DEFINITION OF FRAUD AND ABUSE |
| 10A NCAC 22F .0702. GENERAL |
| 10A NCAC 22F .0703. WARNING NOTIFICATION |
| 10A NCAC 22F .0704. RECIPIENT MANAGEMENT LOCK‑IN SYSTEM |
| 10A NCAC 22F .0705. OVERUTILIZATION SURVEILLANCE (SUR INDICATOR) |
| 10A NCAC 22F .0706. RECOUPMENT OF OVERPAYMENTS |
| 10A NCAC 22F .0707. REPORTS AND REVIEWS |