Bill Summary for H 320 (2013-2014)
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Summary date:
May 14 2013
Bill Information:
| View NCGA Bill Details(link is external) | 2013-2014 Session |
A BILL TO BE ENTITLED AN ACT TO ESTABLISH STANDARDS FOR MEDICAID MANAGED CARE FOR BEHAVIORAL HEALTH SERVICES UNDER THE 1915(B)/(C) MEDICAID WAIVER, INCLUDING THE ESTABLISHMENT OF GRIEVANCE AND APPEAL PROCEDURES FOR ENROLLEES.Intro. by Dollar, Burr.
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Bill summary
House committee substitute makes the following changes to the 1st edition.
Changes the word subsection to section in GS 108D-17.
Deletes proposed subsection (d) (which excluded disputes between an LME/MCO and a provider or applicant from OAH's jurisdiction) in GS 108D-18.
Modifies subsection (c) of GS 108D-26 to eliminate any right to appeal the resolution of a LME/MCO grievance to OAH or any other forum, and eliminates subsection (d) (which established notice procedure for requesting LME/MCO level appeal).
Deletes references to grievance procedures under GS 108D-26 in GS 108D-28 and GS 108D-29.