108D-5.1. General provisions.
(a) Nothing in this Article shall be construed to limit or prevent the Department from disenrolling, from a PHP, an enrollee who (i) is no longer eligible to receive services through the Medicaid or NC Health Choice programs or (ii) becomes a member of a population of beneficiaries that is not required to enroll in a PHP under State law.
(b) Nothing in this Article shall be construed to exclude a Medicaid or NC Health Choice beneficiary who is otherwise required by State law to enroll in a PHP from enrolling in a PHP, or to prevent a beneficiary who is otherwise exempted from enrollment in a PHP from disenrolling from a PHP and receiving services through the fee-for-service program. (2019-81, s. 1(a).)
Structure North Carolina General Statutes
North Carolina General Statutes
Chapter 108D - Medicaid and NC Health Choice Managed Care Programs
Article 1A - Disenrollment from Prepaid Health Plans.
§ 108D-5.1 - (Effective until contingency met see note) General provisions.
§ 108D-5.3 - Enrollee requests for disenrollment.
§ 108D-5.5 - PHP requests for disenrollment.
§ 108D-5.9 - Appeals of adverse disenrollment determinations.