10A NCAC 39A .0707. RATES OF REIMBURSEMENT

(a)  Home health agencies that contract for reimbursement funds shall be reimbursed for in-home health services provided to eligible patients in an amount and percentage based on the Demonstration Program Reimbursement Rate in effect at the time service is rendered, as specified in Rule .0702(21) of this Section.

(b)  Claims for reimbursement from Demonstration Program must be documented and reported on a quarterly basis on a form provided by the program.  No claims for reimbursement will be accepted by the Demonstration Program more than 180 days after the date of delivery of services.  If after charging the program, the agency receives payment from the patient or other third party that would result in the agency receiving more than the Demonstration Program Reimbursement Rate, the agency shall reimburse the program the difference between the total amount reimbursed from all sources and the Demonstration Program Reimbursement Rate.

 

History Note:        Filed as a Temporary Rule Eff. March 20, 1989 For a Period of 180 Days to Expire on September 16, 1989;

Authority G.S. 130A‑223;

Eff. August 1, 1989.