North Carolina Administrative Code (Last Updated: November 13, 2014) |
TITLE 10A. HEALTH AND HUMAN SERVICES |
CHAPTER 27. MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES |
SUBCHAPTER G. RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES |
10A NCAC 27G .0802. CONTENTS OF WAIVER REQUESTS
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Except as provided in Rules .0806 and .0813 of this Section, waiver requests shall be in writing and shall contain:
(1) the name, address and telephone number of the person making the request;
(2) the name, address and telephone number of the facility, program, agency or other entity for which the waiver is requested;
(3) the rule number and title of any rule for which the waiver is requested;
(4) a statement of facts including:
(a) the reason for the request;
(b) the nature and extent of the request; and
(c) confirmation that the health, safety or welfare of clients will not be threatened;
(5) the time frame for which the waiver is requested; and
(6) authorization for the waiver request and the date of such authorization. Required authorization is as follows:
(a) by the area board for a facility operated by an area program;
(b) by the governing board of the contract agency with a recommendation by the area board, for a contract agency (of area programs);
(c) by the governing body for a private facility; and
(d) by the Director of the Division of Prisons for the Department of Correction.
History Note: Authority G.S. 122C‑112(a)(8); 143B‑147(a)(8);
Eff. May 1, 1996.