North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 20 - MANAGED CARE HEALTH BENEFIT PLANS
Section .0500 - HMO QUALITY MANAGEMENT PROGRAMS
Section 20 .0508 - CONFLICTS OF INTEREST
Universal Citation: 11 NC Admin Code 20 .0508
Current through Register Vol. 39, No. 6, September 16, 2024
Each HMO shall develop written policies and procedures about conflicts of interest. No person shall conduct utilization review of health care provided by any facility or entity in which that person or any member of his or her family has, directly or indirectly, a financial interest. That person shall recuse himself or herself from such review.
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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