Skip to main content
Find a Lawyer

North Carolina General Statutes Chapter 108D. Medicaid Managed Care for Behavioral Health Services § 108D-5.5. PHP requests for disenrollment

Current as of January 01, 2023 | Updated by FindLaw Staff

(a) In General.--A PHP requesting disenrollment of an enrollee from the PHP shall submit a written request for disenrollment to the enrollment broker.

(b) Limitations on PHP Requests for Disenrollment.--A PHP shall not request disenrollment of an enrollee from the PHP for any reason prohibited by 42 C.F.R. § 438.56(b)(2). A PHP may request disenrollment of an enrollee only when both of the following criteria are met:

(1) The enrollee's behavior seriously hinders the PHP's ability to care for the enrollee or other enrollees of the PHP.

(2) The PHP has documented efforts to resolve the issues that form the basis of the request for disenrollment of the enrollee.

Back to chapter list
Previous part of code Next part of code
Back to chapter list

Cite this article: FindLaw.com - North Carolina General Statutes Chapter 108D. Medicaid Managed Care for Behavioral Health Services § 108D-5.5. PHP requests for disenrollment - last updated January 01, 2023 | https://codes.findlaw.com/nc/chapter-108d-medicaid-managed-care-for-behavioral-health-services/nc-gen-st-sect-108d-5-5/

Read this complete North Carolina General Statutes Chapter 108D. Medicaid Managed Care for Behavioral Health Services § 108D-5.5. PHP requests for disenrollment on Westlaw

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.

Was this helpful?

Search all North Carolina Codes

Welcome to FindLaw's Cases & Codes

A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw's Learn About the Law.

Go to Learn About the Law

Latest Blog Posts

For Legal Professionals

Learn About the Law

Get help with your legal needs

FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.

Go to Learn About the Law

Need to find an attorney?

Search our directory by legal issue

Enter information in one or both fields (Required)

    More Options
    Copied to clipboard