11 NCAC 20 .0508             CONFLICTS OF INTEREST

Each HMO shall develop written policies and procedures about conflicts of interest.  No person shall conduct utilization review of health care provided by any facility or entity in which that person or any member of his or her family has, directly or indirectly, a financial interest.  That person shall recuse himself or herself from such review.


History Note:        Authority G.S. 58-2-40(1); 58-67-5; 58-67-10; 58-67-20; 58-67-35; 58-67-65; 58-67-140; 58-67-150;

Eff. October 1, 1996;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 16, 2014.