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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 G. REIMBURSEMENT PLANS |
| 10A NCAC 22G .0101. REIMBURSEMENT PRINCIPLES |
| 10A NCAC 22G .0102. RATE SETTING METHODS |
| 10A NCAC 22G .0103. REASONABLE AND NON‑ALLOWABLE COSTS |
| 10A NCAC 22G .0104. COST REPORTING: AUDITING |
| 10A NCAC 22G .0105. CASE-MIX INDEX CALCULATION |
| 10A NCAC 22G .0106. RECONSIDERATION REVIEWS |
| 10A NCAC 22G .0107. PAYMENT ASSURANCE |
| 10A NCAC 22G .0108. REIMBURSEMENT METHODS FOR STATE‑OPERATED FACILITIES |
| 10A NCAC 22G .0109. PROVIDER ASSESSMENT |
| 10A NCAC 22G .0110. DEFINITIONS |
| 10A NCAC 22G .0201. REIMBURSEMENT PRINCIPLES |
| 10A NCAC 22G .0202. DRG RATE SETTING METHODOLOGY |
| 10A NCAC 22G .0203. EXCEPTIONS TO DRG REIMBURSEMENT |
| 10A NCAC 22G .0204. DISPROPORTIONATE SHARE HOSPITALS (DSH) |
| 10A NCAC 22G .0205. OUT OF STATE HOSPITALS |
| 10A NCAC 22G .0206. SPECIAL SITUATION |
| 10A NCAC 22G .0207. COST REPORTING AND AUDITS |
| 10A NCAC 22G .0208. ADMINISTRATIVE RECONSIDERATION REVIEWS |
| 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 |
| 10A NCAC 22G .0301. PAYMENT FOR SERVS‑PROSPECTIVE REIMBURSEMENT PLAN ICF‑MR FACILITIES |
| 10A NCAC 22G .0302. REPORTING REQUIREMENTS |
| 10A NCAC 22G .0303. REQUIREMENTS FOR FINANCIAL RECORDS |
| 10A NCAC 22G .0304. RATE SETTING METHOD FOR NON-STATE FACILITIES |
| 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 |
| 10A NCAC 22G .0401. PHYSICIAN’S FEE SCHEDULE |
| 10A NCAC 22G .0402. OTHER SERVICES PERFORMED BY PHYSICIANS AND OTHER PRACTITIONERS |
| 10A NCAC 22G .0501. CLINIC SERVICES |
| 10A NCAC 22G .0502. MENTAL HEALTH CLINIC SERVICES |
| 10A NCAC 22G .0503. INPATIENT HOSPITAL: INAPPROPRIATE LEVEL OF CARE |
| 10A NCAC 22G .0504. HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH PLANS |
| 10A NCAC 22G .0505. PERSONAL CARE SERVICES |
| 10A NCAC 22G .0506. INDEPENDENT LABORATORY SERVICES |
| 10A NCAC 22G .0507. DURABLE MEDICAL EQUIPMENT AND RELATED SUPPLIES |
| 10A NCAC 22G .0508. PRIVATE DUTY NURSING |
| 10A NCAC 22G .0509. REIMBURSEMENT PRINCIPLES, HEARING AIDS/ACCESSORIES/BATTERIES |
| 10A NCAC 22G .0510. CASE MANAGEMENT SERVICES |
| 10A NCAC 22G .0601. REIMBURSEMENT PRINCIPLES |
| 10A NCAC 22G .0602. REIMBURSEMENT METHODS |
| 10A NCAC 22G .0603. APPEALS |
| 10A NCAC 22G .0604. COST REPORTING AND AUDITING |
| 10A NCAC 22G .0605. PAYMENT ASSURANCES |