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Medicaid Recipient Appeal Regulatory Procedures

North Carolina General Statutes §§ 108A-70.9A and 108A-70.9B address contested Medicaid Recipient Appeals involving the NC Department of Health and Human Services (most appeals).  North Carolina General Statute §§ 108D addresses contested Medicaid Recipient Appeals involving a Managed Care Organization ("MCO").  Title 26, Chapter 03 of the North Carolina Administrative Code (26 NCAC 03) sets forth the hearing procedures for matters before the Office of Administrative Hearings.  The sections of the North Carolina Administrative Code that deal specifically with Medicaid Recipient Appeals at the Office of Administrative Hearings are 26 NCAC 03 .0401 and 26 NCAC 03 .0402.