North Carolina Administrative Code (Last Updated: November 13, 2014) |
TITLE 11. INSURANCE |
CHAPTER 20. MANAGED CARE HEALTH BENEFIT PLANS |
11 NCAC 20 .0101. SCOPE AND DEFINITIONS |
11 NCAC 20 .0201. WRITTEN CONTRACTS |
11 NCAC 20 .0202. CONTRACT PROVISIONS |
11 NCAC 20 .0203. CHANGES REQUIRING APPROVAL |
11 NCAC 20 .0204. CARRIER AND INTERMEDIARY CONTRACTS |
11 NCAC 20 .0205. FILING REQUIREMENTS |
11 NCAC 20 .0301. PROVIDER AVAILABILITY STANDARDS |
11 NCAC 20 .0302. PROVIDER ACCESSIBILITY STANDARDS |
11 NCAC 20 .0303. PROVIDER NETWORK SAFEGUARDS |
11 NCAC 20 .0304. MONITORING ACTIVITIES |
11 NCAC 20 .0401. CREDENTIAL VERIFICATION PROGRAM |
11 NCAC 20 .0402. ORGANIZATION STRUCTURE |
11 NCAC 20 .0403. WRITTEN CREDENTIAL VERIFICATION PLAN |
11 NCAC 20 .0404. APPLICATION |
11 NCAC 20 .0405. VERIFICATION OF CREDENTIALS |
11 NCAC 20 .0406. PROVIDER FILES |
11 NCAC 20 .0407. REVERIFICATION OF PROVIDER CREDENTIALS |
11 NCAC 20 .0408. CONFIDENTIALITY |
11 NCAC 20 .0409. RECORDS AND EXAMINATIONS |
11 NCAC 20 .0410. DELEGATION OF CREDENTIAL VERIFICATION ACTIVITIES |
11 NCAC 20 .0411. SUSPENSION OR TERMINATION OF NETWORK PROVIDERS |
11 NCAC 20 .0501. PROGRAM |
11 NCAC 20 .0502. STRUCTURE |
11 NCAC 20 .0503. PLAN |
11 NCAC 20 .0504. ACTIVITIES |
11 NCAC 20 .0505. QUALITY OF CARE COMPLAINTS |
11 NCAC 20 .0506. DELEGATION OF ACTIVITIES |
11 NCAC 20 .0507. CORRECTIVE ACTION |
11 NCAC 20 .0508. CONFLICTS OF INTEREST |
11 NCAC 20 .0509. CONFIDENTIALITY |
11 NCAC 20 .0510. RECORDS AND EXAMINATIONS |
11 NCAC 20 .0511. INTERNAL AUDIT |
11 NCAC 20 .0601. APPLICATIONS FOR MODIFICATIONS TO SERVICE AREAS OR PRODUCT LINES |
11 NCAC 20 .0602. WRITTEN NOTICE |