{"data":{"id":"us-nc/n.c.-gen.-stat.-135-48.51","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 135-48.51","heading":"Coverage and operational mandates related to Chapter 58 of the General Statutes.","body":"The following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:\n(1)\tG.S. 58-3-191, Managed care reporting and disclosure requirements.\n(2)\tG.S. 58-3-221, Access to nonformulary and restricted access prescription drugs.\n(3)\tG.S. 58-3-223, Managed care access to specialist care.\n(4)\tG.S. 58-3-225, Prompt claim payments under health benefit plans.\n(5)\tG.S. 58-3-235, Selection of specialist as primary care provider.\n(6)\tG.S. 58-3-240, Direct access to pediatrician for minors.\n(7)\tG.S. 58-3-245, Provider directories.\n(7a)\tG.S. 58-3-247, Insurance identification card.\n(8)\tG.S. 58-3-250, Payment obligations for covered services.\n(9)\tG.S. 58-3-265, Prohibition on managed care provider incentives.\n(10)\tG.S. 58-3-280, Coverage for the diagnosis and treatment of lymphedema.\n(11)\tG.S. 58-3-285, Coverage for hearing aids.\n(12)\tG.S. 58-50-30, Right to choose services of certain providers.\n(13)\tG.S. 58-67-88, Continuity of care. (2011-85, s. 2.10; 2012-129, s. 2; 2013-296, s. 3; 2013-324, s. 5; 2021-30, s. 1(b).)","path":["Chapter 135. Retirement System for Teachers and State Employees; Social Security; State Health Plan for Teachers and State Employees.","Article 3B. State Health Plan for Teachers and State Employees.","Part 5. Coverage Mandates and Exclusions; Other Mandates."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_135/GS_135-48.51.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:21:42Z","sha256":"e32791b28869fa8c6917d3aeb85eb035de2d2bbc5417148a6e4ac25477bcb0f7","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-135-48.50","next":"us-nc/n.c.-gen.-stat.-135-48.52"},"notice":"GroundRules: Original legal text. Not legal advice."}