North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 20 - MANAGED CARE HEALTH BENEFIT PLANS
Section .0500 - HMO QUALITY MANAGEMENT PROGRAMS
Section 20 .0501 - PROGRAM
Universal Citation: 11 NC Admin Code 20 .0501
Current through Register Vol. 39, No. 6, September 16, 2024
(a) Each HMO shall have a program designed to monitor, evaluate, improve, and promote:
(1) The quality of health care and quality of
services provided through its network of providers; and
(2) Its policies, procedures, and
performance.
(b) The program shall identify those areas and aspects of health care covered by the HMO's benefit plan or plans that are included in its quality management program.
Authority
G.S.
58-2-40(1);
58-67-5;
58-67-10;
58-67-20;
58-67-35;
58-67-65;
58-67-140;
58-67-150;
Eff.
October 1, 1996;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 16,
2014.
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