11 N.C. Admin. Code 20.0203

Current through Register Vol. 39, No. 9, November 1, 2024

Section 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 Rule, a "material change" includes a change in:

(1) the means of calculating payment to the provider; for example, change from fee for service to capitation;

(2) the distribution of risk between parties; or

(3) the delegation of clinical and administrative responsibilities.

11 N.C. Admin. Code 20 .0203

Authority G.S. 58-2-40(1); 58-65-25; 58-67-10; 58-67-20; 58-67-35; 58-67-115; 58-67-120; 58-67-150;
Eff. October 1, 1996;
Readopted Eff. December 1, 2017.

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.

Readopted by North Carolina Register Volume 32, Issue 13, January 2, 2018 effective 12/1/2017.