11 NCAC 20 .0203             CHANGES REQUIRING APPROVAL

All material changes to an approved contract form shall be filed with the Division for approval before use.  For the purpose of this Section, a "material change" includes a change in the means of calculating payment to the provider (for example, change from fee for service to capitation), a change in the distribution of risk between parties, or a change in the delegation of clinical or administrative responsibilities.

 

History Note:        Authority G.S. 58-2-40(1); 58-50-50; 58-50-55; 58-65-25; 58-65-140; 58-67-10; 58-67-20; 58-67-35;

58-67-115; 58-67-120; 58-67-150;

Eff. October 1, 1996.