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N.C. Gen. Stat. § 108C-12

Appeals by Medicaid providers and applicants

Applied in 2 court decisions — leading case 246 N.C. App. 551 - N.C. Dep't of Health & Human Servs. v. Parker Home Care, LLC (2016)

Most recently applied in 250 N.C. App. 1 - Practice v. N.C. Dep't of Health & Human Servs., & Computer Scis. Corp. (October 2016)

2011-399, s. 1; 2014-100, s. 12H.27(a).

(a) General Rule. - Notwithstanding any provision of State law or rules to the contrary, this section shall govern the process used by a Medicaid provider or applicant to appeal an adverse determination made by the Department.

(b) Appeals. - Except as provided by this section, a request for a hearing to appeal an adverse determination of the Department under this section is a contested case subject to the provisions of Article 3 of Chapter 150B of the General Statutes.

(c) Final Decision. - The Office of Administrative Hearings shall make a final decision within 180 days of the date of filing of the appeal with the Office of Administrative Hearings. The time to make a final decision shall be extended in the event of delays caused or requested by the Department.

(d) Burden of Proof. - The petitioner shall have the burden of proof in appeals of Medicaid providers or applicants concerning an adverse determination.

Official source: North Carolina General Assembly. Reproduced from public-domain North Carolina statutes; confirm against the official source for the current text. Not legal advice.