North Carolina General Statutes § 108C-12 Appeals by Medicaid providers and applicants

(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 Department shall have the burden of proof in appeals of Medicaid providers or applicants concerning an adverse determination.  (2011-399, s. 1.)

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Last modified: March 23, 2014