North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 63 - SERVICES FOR THE BLIND
Subchapter G - MEDICAL/EYE CARE PROGRAM
Section .0200 - ADMINISTRATIVE PROCEDURES
Section 63G .0202 - CLAIMS

Universal Citation: 10A NC Admin Code 63G .0202

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

(a) Claims for services or supplies must be submitted no later than twelve months from the date of service. The division shall not pay claims received more than 12 months from the date of service.

(b) The amount reimbursed is payment in full. The consumer shall not be billed for any unrealized balance except a co-payment. A co-payment not to exceed five dollars ($5.00) may be charged the consumer by both the practitioner who provides the eye exam and follow-up and by the optical supplier. This will reduce the division's liability by the amount of the co-payment.

Authority G.S. 111-8; 143B-157;
Eff. February 1, 1976;
Amended Eff. November 8, 1976;
Readopted Eff. November 16, 1977;
Amended Eff. August 1, 2002; February 1, 1986; June 1, 1983; June 1, 1978;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. November 23, 2015.

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