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