10A N.C. Admin. Code 63G.0105

Current through Register Vol. 39, No. 11, December 2, 2024

Section 63G .0105 - RETROACTIVE ELIGIBILITY

The division may issue authorizations to pay for emergency inpatient and outpatient surgery and hospital services plus other services or treatment provided prior to determining eligibility if:

(1) services were received no more than 90 days before application;

(2) the person would have been eligible at the time the services were performed; and

(3) the services were those covered by this program.

Surgery and hospitalization not of an emergency nature requires prior approval.

10A N.C. Admin. Code 63G .0105

Authority G.S. 111-8; 143B-157;
Eff. February 1, 1976;
Readopted Eff. November 16, 1977;
Amended Eff. August 1, 2002; July 1, 1987; February 1, 1986;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. November 23, 2015.

Authority G.S. 111-8; 143B-157;
Eff. February 1, 1976;
Readopted Eff. November 16, 1977;
Amended Eff. August 1, 2002; July 1, 1987; February 1, 1986.