North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 20 - MANAGED CARE HEALTH BENEFIT PLANS
Section .0500 - HMO QUALITY MANAGEMENT PROGRAMS
Section 20 .0503 - PLAN
Current through Register Vol. 39, No. 6, September 16, 2024
Each HMO shall develop and adopt a written quality management plan that contains policies and procedures to support the quality management program. This plan shall include the following:
(1) The purpose, goals, and objectives of the quality management program.
(2) The role of those responsible for all quality management programs.
(3) The specific services to be monitored in accordance with 11 NCAC 20 .0501.
Authority
G.S.
58-2-40(1);
58-67-5;
58-67-10;
58-67-20;
58-67-35;
58-67-65;
58-67-100;
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.