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 .0203 - FRAUD: PAYMENT OF CLAIM
Current through Register Vol. 39, No. 6, September 16, 2024
(a) All services billed by licensed eye practitioners and optical providers, institutions and suppliers must be consistent with the services actually performed.
(b) The Division shall use the Medicaid schedule of benefit payments for services charged the Division. This schedule is maintained by the Department of Health and Human Services. Division of Medical Assistance, 1985 Umstead Drive, Raleigh, NC 27603-2001. The schedule is incorporated by reference including subsequent amendments and additions.
(c) Licensed eye practitioners, licensed optical providers, institutions, and suppliers must keep records disclosing the services charged the division for five years. The division may have access to these records on written request by the division director.
Authority
G.S.
108-48;
111-8;
111-23;
143B-157;
Eff.
February 1, 1976;
Amended Eff. July 1, 1976; February 19,
1976;
Readopted Eff. November 16, 1977;
Amended Eff.
August 1, 2002; April 1, 1990; February 1, 1986;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. November 23,
2015.
