North Carolina General Statutes 135-48.51. Coverage and operational mandates related to Chapter 58 of the General Statutes
The following provisions of Chapter 58 of the N.C. Gen. Stat. apply to the State Health Plan:
(1) N.C. Gen. Stat. § 58-3-191, Managed care reporting and disclosure requirements.
Terms Used In North Carolina General Statutes 135-48.51
- following: when used by way of reference to any section of a statute, shall be construed to mean the section next preceding or next following that in which such reference is made; unless when some other section is expressly designated in such reference. See North Carolina General Statutes 12-3
- Plan: includes all comprehensive health benefit plans offered under the Plan. See North Carolina General Statutes 135-48.1
- state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3
(2) N.C. Gen. Stat. § 58-3-221, Access to nonformulary and restricted access prescription drugs.
(3) N.C. Gen. Stat. § 58-3-223, Managed care access to specialist care.
(4) N.C. Gen. Stat. § 58-3-225, Prompt claim payments under health benefit plans.
(5) N.C. Gen. Stat. § 58-3-235, Selection of specialist as primary care provider.
(6) N.C. Gen. Stat. § 58-3-240, Direct access to pediatrician for minors.
(7) N.C. Gen. Stat. § 58-3-245, Provider directories.
(7a) N.C. Gen. Stat. § 58-3-247, Insurance identification card.
(8) N.C. Gen. Stat. § 58-3-250, Payment obligations for covered services.
(9) N.C. Gen. Stat. § 58-3-265, Prohibition on managed care provider incentives.
(10) N.C. Gen. Stat. § 58-3-280, Coverage for the diagnosis and treatment of lymphedema.
(11) N.C. Gen. Stat. § 58-3-285, Coverage for hearing aids.
(12) N.C. Gen. Stat. § 58-50-30, Right to choose services of certain providers.
(13) N.C. Gen. Stat. § 58-67-88, Continuity of care. (2011-85, s. 2.10; 2012-129, s. 2; 2013-296, s. 3; 2013-324, s. 5; 2021-30, s. 1(b).)