Home/North Carolina/Statutes/Ch. 108D: Medicaid Managed Care Program/Art. 4: Prepaid Health Plans/§ 108D-55
North Carolina Statutes

§ 108D-55 — Administrative functions

North Carolina·Ch. 108D Medicaid Managed Care Program·Art. 4 Prepaid Health Plans
PHPs shall be responsible for all administrative functions for recipients enrolled in their plan, including, but not limited to, claims processing, care and case management, grievances and appeals, and other necessary administrative services. (2015-245, s. 4; 2019-81, s. 14(a).)

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Nearby Sections

15
§ 108D-1
Definitions
§ 108D-10
Reserved for future codification purposes
§ 108D-11
Managed care entity grievance and appeal procedures, generally
§ 108D-12
Managed care entity grievances
§ 108D-13
Standard managed care entity level appeals
§ 108D-14
Expedited managed care entity level appeals
§ 108D-15
Contested case hearings on disputed adverse benefit determinations
§ 108D-15.1
Expedited contested case hearings on disputed adverse benefit determinations
§ 108D-16
Notice of final decision and right to seek judicial review
§ 108D-17
Reserved for future codification purposes
§ 108D-18
Reserved for future codification purposes
§ 108D-19
Reserved for future codification purposes
§ 108D-2
Scope; applicability of this Chapter
§ 108D-20
Reserved for future codification purposes
§ 108D-21
LME/MCO provider networks
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