Chapter 22 - Medical Assistance Eligibility

SUBCHAPTER 22A – IDENTIFYING INFORMATION

10A NCAC 22A .0101      SCOPE

The Division of Health Benefits shall administer and supervise the administration of medical services under Title XIX of the Social Security Act, commonly referred to as Medicaid. A fiscal agent, under contract to the Department of Health and Human Services, shall process claims for medical services, and conduct utilization control activities. Payment of claims shall be made to the providers. Notwithstanding any other rules in this Chapter, no services shall be covered for which funds have not been allocated by the General Assembly.

History Note:        Authority G.S. 108A‑25(b); 108A‑54;

Eff. February 1, 1976;

Amended Eff. September 30, 1977;

Readopted Eff. October 31, 1977;

Amended Eff. May 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 22, 2015;

Amended Eff. March 1, 2020.