§ 131E-284. Modifications. - North Carolina Statutes

§ 131E‑284. Modifications.

(a)        A provider sponsored organization shall file a noticedescribing any significant change in the information required by the Divisionunder G.S. 131E‑280. Such notice shall be filed with the Division priorto the change. If the Division does not disapprove within 90 days after thefiling, this modification shall be considered approved. Changes subject to theterms of this section include expansion of service area, addition or deletionof sponsoring providers, changes in provider contract forms, and group contractforms when the distribution of risk is significantly changed, and any otherchanges that the Division describes in properly adopted rules. Every PSO shallreport to the Division for the Division's information material changes in thenetwork of sponsoring providers and affiliated providers of services tobeneficiaries enrolled with the PSO, the addition or deletion of any Medicarecontracts of the PSO or any other information the Division may require. Thisinformation shall be filed with the Division within 15 days afterimplementation of the reported changes. Every PSO shall file with the Divisionall subsequent changes in the information or forms that are required by thisArticle to be filed with the Division.

(b)        The Division may adopt rules exempting from the filingrequirements of subsection (a) of this section those items it considersunnecessary. (1998‑227, s.1.)