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NC · guidance

N.C. Medicaid Clinical Coverage Policy No. 3D § 6.1

Provider Qualifications and Occupational Licensing Entity Regulations

activein force · 2024-03-15 – presentcompiled-edition

a. Nursing shall comply with NC GS Chapter 90, Article 9 - Nurse Practice Act, Title 21

- Occupational Licensing Boards and Commissions > Chapter 36 - Nursing and

agency policy.

b. Hospice aide shall comply with the qualifications under 42 CFR §418.76.

c. Provider of hospice services shall comply with the following legal authorities:

1. Social Security Act (SSA) Section 1905(o). [42 U.S.C. 1396d];1905(o)(1) and

2110(a) (23) of the Social Security Act

2. The Patient Protection and Affordable Care Act, Section 2302; The Patient

Protection and Affordable Care Act, Section 3132

3. The Patient Self Determination Act of 1990, Sections 4206 and 4751 of the

Omnibus Budget Reconciliation Act of 1990, P.L.101-508

4. 42 U. S. C. 1302 and 1395hh, Social Security Act (SSA) Sections 1102 and

1871)

5. 42 CFR Part 418, Subpart D—Conditions of participation: Organizational

Environment

6. 42 CFR Part 418, Subpart F—Covered Services

7. 42 CFR Part 418, Subpart G—Payment for Hospice Care

8. 42 CFR Part 418, Subpart H—Coinsurance

9. 42 CFR §418.66 Condition of participation: Nursing services—Waiver of

requirement that substantially all nursing services be routinely provided directly

by a hospice.

10. 42 CFR §418.70 Condition of participation: Furnishing of non-core services.

Provenance

Source
medicaid.ncdhhs.gov
Retrieved
2026-10-01
Edition
ccp-3d-2024-03-15
Content hash
ebc75239df8193091d8fc10673fecf17e8d8df2b67cd2b2a765adc1112779ee8
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