SECTION .0400 ‑ REIMBURSEMENT

10A NCAC 45A .0401       GENERAL

(a)  The purpose of this Section is to establish rates of reimbursement for services provided under the Department's payment programs and governed by the Commission for Public Health.

(b)  The reimbursement rates established in the rules of this Section shall not apply to perinatal program high risk maternity clinic reimbursement funds, as set forth in 10A NCAC 43C .0300, or school health funds, as set forth in 10A NCAC 43E .0100.  Rates of reimbursement for these programs are individually negotiated with providers by the Department's contractor, usually a local health department.  These rates shall be negotiated and established in accordance with guidelines found in the respective program rules, and shall not exceed the Medicaid rate of reimbursement in effect on the date of service.

History Note:        Authority G.S. 130A-5(3); 130A-124; 130A-127; 130A-129; 130A-205;

Eff. October 1, 1982;

Amended Eff. July 1, 1983;

Transferred and Recodified from 10 NCAC 4C .0401 Eff. April 4, 1990;

Amended Eff. January 1, 2014; December 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 13, 2015.