Article 1A.
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/nc/chapter-108d/1aA research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Article 1A.
Disenrollment from Prepaid Health Plans.
§ 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 program 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 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); 2022-74, s. 9D.15(z); 2023-11, s. 3.2(h).)