10A NCAC 45A .0503       EFFECT ON AUTHORIZATIONS AND AUTHORIZATION REQUESTS

(a)  All authorizations will be honored by the Department, except that an authorization may be cancelled after a final decision to terminate eligibility if:

(1)           The applicant and the provider are notified of the authorization cancellation prior to the provision of the service.  Authorizations may be cancelled in part when only some of the services have been provided; and

(2)           The provider has not made financial commitments based upon the authorization.

(b)  Authorization requests received during the period of time that the eligibility is under review or is being appealed will be held until a final decision in the matter is made.

History Note:        Authority G.S. 130A‑5(3); 130A-24(a1); 130A‑124; 130A‑127; 130A‑205; 143B‑193;

Eff. October 1, 1983;

Transferred and Recodified from 10 NCAC 4C .0503 Eff. April 4, 1990;

Amended Eff. October 1, 1994;

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