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Code · North Carolina · Chapter 108D — Medicaid Managed Care Program

§ 108D-24. Children and families specialty plan networks.

130 words·~1 min read·/nc/chapter-108d/108d-24

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§ 108D-24. Children and families specialty plan networks.
(a)The entity operating the children and families specialty plan shall develop and maintain a closed network of providers only as provided in this section.
(b)The requirement to operate a closed network is applicable only to the provision of the following services:
(1)Intensive in-home services.
(2)Multisystemic therapy.
(3)Residential treatment services.
(4)Services provided in psychiatric residential treatment facilities.
(c)A closed network is the network of providers that have contracted with the entity operating the CAF specialty plan to provide to enrollees the services described in subsection
(b)of this section.
(d)The entity operating the CAF specialty plan shall not exclude federally recognized tribal providers or Indian Health Service providers from its closed network. (2023-134, s. 9E.22(f).)
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