10A NCAC 39A .1107. PATIENT APPLICATION PROCESS

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(a) Authorization Request and Financial Eligibility Application forms may be requested by the provider from the Program at the principal address of the Division.

(b) The Authorization Request and Financial Eligibility Applications are to be completed in accordance with the Rules found in 15A NCAC 45A and the directions printed on the forms.

(c) Separate Authorization Requests are necessary for diagnosis and for treatment.

History Note: Filed as a Temporary Adoption Eff. December 1, 1992 for a period of 180 days or until the

permanent rule becomes effective, whichever is sooner;

Authority G.S. 130A‑205;

Eff. April 1, 1993.

                    
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