Section 135-48.51 - Coverage and operational mandates related to Chapter 58 of the General StatutesThe following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:
(1)G.S.58-3-191, Managed care reporting and disclosure requirements.(2)G.S.58-3-221, Access to nonformulary and restricted access prescription drugs.(3)G.S.58-3-223, Managed care access to specialist care.(4)G.S.58-3-225, Prompt claim payments under health benefit plans.(5)G.S.58-3-235, Selection of specialist as primary care provider.(6)G.S.58-3-240, Direct access to pediatrician for minors.(7)G.S.58-3-245, Provider directories.(7a)G.S.58-3-247, Insurance identification card.(8)G.S.58-3-250, Payment obligations for covered services.(9)G.S.58-3-265, Prohibition on managed care provider incentives.(10)G.S.58-3-280, Coverage for the diagnosis and treatment of lymphedema.(11)G.S.58-3-285, Coverage for hearing aids.(12)G.S.58-50-30, Right to choose services of certain providers.(13)G.S.58-67-88, Continuity of care. N.C. Gen. Stat. § 135-48.51
Amended by 2021 N.C. Sess. Laws 30,s. 1-b, eff. 1/1/2022, and applicable to contracts entered into, amended, or renewed on or after that date.Amended by 2013 N.C. Sess. Laws 296,s. 3, eff. 10/1/2013.Amended by 2012 N.C. Sess. Laws 129,s. 2, eff. 10/1/2012.Added by 2011 N.C. Sess. Laws 85,s. 2.10, eff. 1/1/2012.