North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 14 - Director, Division of Health Service Regulation
Subchapter G - EXEMPTIONS FROM PROHIBITIONS OF SELF-REFERRALS BY HEALTH CARE PROVIDERS FOR UNDERSERVED AREAS
Section .0100 - GENERAL INFORMATION
Section 14G .0102 - APPLICATION

Universal Citation: 10A NC Admin Code 14G .0102

Current through Register Vol. 39, No. 6, September 16, 2024

(a) The terms defined in G.S. 90-405 shall have the same meaning in this Rule.

(b) "Applicant" means a health care provider that submits an application to the Director of the Division of Health Service Regulation requesting an exemption from G.S. 90-406.

(1) the name, mailing address, email address, and telephone number of the applicant;

(2) a list of the designated health care services provided or to be provided by the applicant;

(3) the name, mailing address, email address, and telephone number of the manager of the entity to which the applicant wants to make referrals;

(4) a list of the owners of the entity to which the applicant wants to make referrals;

(5) a list of the types of designated health care services provided or to be provided by the entity to which the applicant wants to make referrals;

(6) evidence that there is a need for the proposed designated health care services in the county where the entity is or will be located;

(7) evidence that alternative financing is not available from other sources to develop the entity to which the applicant wants to make referrals; and

(8) a statement affirming that all health care providers located in the county where the entity is or will be located shall be offered access to the entity.

(d) Applications shall be:

(1) mailed to the Office of the Director, Division of Health Service Regulation, Department of Health and Human Services, 2701 Mail Service Center, Raleigh, NC 27699-2701; or

(2) delivered in person to the Office of the Director, Division of Health Service Regulation, Department of Health and Human Services, 809 Ruggles Drive, Raleigh, NC 27603.

Authority G.S. 90-408;
Eff. April 1, 1995;
Readopted Eff. November 1, 2019.

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