Chapter 108D
31 published sections.
Article 1 - General Provisions
- N.C.G.S. § 108D-1 — Definitions.
- N.C.G.S. § 108D-2 — Scope; applicability of this Chapter.
- N.C.G.S. § 108D-3 — Conflicts; severability.
Article 1A - Disenrollment from Prepaid Health Plans
- N.C.G.S. § 108D-5.1 — General provisions.
- N.C.G.S. § 108D-5.3 — Enrollee requests for disenrollment.
- N.C.G.S. § 108D-5.5 — PHP requests for disenrollment.
- N.C.G.S. § 108D-5.7 — Notices.
- N.C.G.S. § 108D-5.9 — Appeals of adverse disenrollment determinations.
Article 2 - Enrollee Grievances and Appeals
- N.C.G.S. § 108D-11 — Managed care entity grievance and appeal procedures, generally.
- N.C.G.S. § 108D-12 — Managed care entity grievances.
- N.C.G.S. § 108D-13 — Standard managed care entity level appeals.
- N.C.G.S. § 108D-14 — Expedited managed care entity level appeals.
- N.C.G.S. § 108D-15 — Contested case hearings on disputed adverse benefit determinations.
- N.C.G.S. § 108D-15.1 — Expedited contested case hearings on disputed adverse benefit determinations.
- N.C.G.S. § 108D-16 — Notice of final decision and right to seek judicial review.
Article 3 - Managed Care Entity Provider Networks
- N.C.G.S. § 108D-21 — LME/MCO provider networks.
- N.C.G.S. § 108D-22 — PHP provider networks.
- N.C.G.S. § 108D-23 — BH IDD tailored plan provider networks.
- N.C.G.S. § 108D-24 — Children and families specialty plan networks.
- N.C.G.S. § 108D-26 — Other provider networks.
Article 4 - Prepaid Health Plans
- N.C.G.S. § 108D-30 — Intent and Goals.
- N.C.G.S. § 108D-35 — Services covered by PHPs.
- N.C.G.S. § 108D-40 — (Effective until October 1, 2026) Populations covered by PHPs.
- N.C.G.S. § 108D-45 — Number and nature of contracts for standard benefit plans.
- N.C.G.S. § 108D-46 — Consideration of county requests.
- N.C.G.S. § 108D-50 — Defined measures and goals.
- N.C.G.S. § 108D-55 — Administrative functions.
- N.C.G.S. § 108D-60 — BH IDD tailored plans.
- N.C.G.S. § 108D-62 — Children and families specialty plan.
- N.C.G.S. § 108D-65 — Role of the Department.
- N.C.G.S. § 108D-70 — Advanced Medical Homes.