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"Public comment" is defined by G.S. 150B-21.3A(a)(5) as a written objection to all or part of a rule. Additionally, pursuant to G.S. 150B-21.3A(c)(2), in order for the Rules Review Commission to determine whether the public comment has merit, the public comment must address the specific substance of the rule and address any of the standards of Commission review, as set forth in G.S. 150B-21.9(a).


G.S. 150B-21.3A Report for 10A NCAC 13K, HOSPICE LICENSING RULES | Division of Health Service Regulation and Medical Care Commission, Rulemaking and Hearings: Hospice Licensing Rule

Periodic Review of Rules

Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, the Medical Care Commission and the Division of Health Service Regulation have posted Initial Determination Reports for the rules in 10A NCAC Subchapter 13K of the North Carolina Administrative Code.  Public comment means written comments objecting to the rule, in whole or in part, or objecting to an agency's determination of the rule as necessary or unnecessary; the comment must address the content of the rule to be considered by the Rules Review Commission.  An unnecessary rule is defined as a rule that the agency determines to be obsolete, redundant, or otherwise not needed.  A necessary rule is defined as any rule other than an unnecessary rule.

Public Comment Period:  February 14 through April 15, 2025.

Direct Comments to the following:
Shanah Black
2701 Mail Service Center
Raleigh, NC 27699-2701
E-Mail:  [email protected]

Rule Section Rule Citation Rule Name Date and Last Agency Action on the Rule Agency Determination
[150B-21.3A(c)(1)a]		 Implements or Conforms to Federal Regulation [150B-21.3A(d1)] Federal Citation Comment
SECTION .0100 - GENERAL INFORMATION 10A NCAC 13K .0102 DEFINITIONS Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR 418.3
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0201 LICENSE REQUIRED Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.116
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0202 APPLICATION FOR AND ISSUANCE OF A LICENSE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1206 HOSPICE INPATIENT FIRE AND SAFETY REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.113
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1207 HOSPICE INPATIENT REQUIREMENTS FOR HEATING/AIR CONDITIONING Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1208 HOSPICE INPATIENT REQUIREMENTS FOR EMERGENCY ELECTRICAL SERVICE Link goes outside of NC DHHS Amended Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1209 HOSPICE INPATIENT REQUIREMENTS FOR GENERAL ELECTRICAL Link goes outside of NC DHHS Amended Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1210 OTHER HOSPICE INPATIENT REQUIREMENTS Link goes outside of NC DHHS Amended Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1211 ADDITIONAL PLUMBING REQUIREMENTS/HOSPICE INPATIENT UNITS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1212 APPLICATION OF PHYSICAL PLANT REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0206 ADVERSE ACTION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0208 INSPECTIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0209 MULTIPLE PREMISES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.116
SECTION .0200 ‑ LICENSE 10A NCAC 13K .0210 COMPLIANCE WITH LAWS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.116
SECTION .0300 ‑ ADMINISTRATION 10A NCAC 13K .0301 AGENCY MANAGEMENT AND SUPERVISION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.100
SECTION .0300 ‑ ADMINISTRATION 10A NCAC 13K .0303 ADMINISTRATIVE FINANCIAL AND STATISTICAL RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .0400 ‑ PERSONNEL 10A NCAC 13K .0401 PERSONNEL Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR 418.60
SECTION .0400 ‑ PERSONNEL 10A NCAC 13K .0402 INSERVICE EDUCATION AND TRAINING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.112
SECTION .0500 ‑ SCOPE OF SERVICES 10A NCAC 13K .0501 SERVICE REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.70
SECTION .0500 ‑ SCOPE OF SERVICES 10A NCAC 13K .0504 HOME MEDICAL EQUIPMENT AND SUPPLIES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.106
SECTION .0500 ‑ SCOPE OF SERVICES 10A NCAC 13K .0505 SERVICES ARRANGED WITH OTHER AGENCIES AND INDIVIDUALS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.108
SECTION .0600 ‑ PATIENT/FAMILY CARE 10A NCAC 13K .0601 ACCEPTANCE OF PATIENTS FOR HOSPICE SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.56
SECTION .0600 ‑ PATIENT/FAMILY CARE 10A NCAC 13K .0604 PATIENTS RIGHTS AND RESPONSIBILITIES Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR 418.52
SECTION .0600 ‑ PATIENT/FAMILY CARE 10A NCAC 13K .0605 HOME CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .0700 ‑ PATIENT/FAMILY CARE PLAN 10A NCAC 13K .0701 CARE PLAN Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR 418.56
SECTION .0800 ‑ PHARMACEUTICAL AND MEDICAL TREATMENT ORDERS AND ADMINISTRATION 10A NCAC 13K .0801 PHARMACEUTICAL AND MEDICAL TREATMENT ORDERS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.106
SECTION .0800 ‑ PHARMACEUTICAL AND MEDICAL TREATMENT ORDERS AND ADMINISTRATION 10A NCAC 13K .0802 ADMINISTRATION OF PHARMACEUTICALS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.106
SECTION .0900 ‑ MEDICAL RECORDS 10A NCAC 13K .0901 CONTENT OF MEDICAL RECORD Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.104
SECTION .0900 ‑ MEDICAL RECORDS 10A NCAC 13K .0902 RECORD CONTENT, HANDLING AND RETENTION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.104
SECTION .1000 ‑ EVALUATION 10A NCAC 13K .1001 EVALUATION REQUIRED Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.10
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1101 ADMINISTRATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1102 HOSPICE RESIDENCE STAFFING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1103 PHARMACEUTICAL SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1104 DIETARY SERVICES Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1105 HOSPICE VISITATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1106 INFECTION CONTROL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.56
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1107 HOUSEKEEPING AND LINENS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1108 REPORT OF DEATH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1109 RESIDENT CARE AREAS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1110 FURNISHINGS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.110
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1111 HOSPICE RESIDENCE ZONING AND FIRE SAFETY REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1112 DESIGN AND CONSTRUCTION Link goes outside of NC DHHS Amended Eff. October 1, 2021 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1113 PLANS AND SPECIFICATIONS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1114 PLUMBING Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1115 WASTE DISPOSAL Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
SECTION .1100 ‑ HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1116 APPLICATION OF PHYSICAL PLANT REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1201 REQUIREMENTS FOR HOSPICE INPATIENT UNITS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1202 ADDITIONAL STAFFING REQUIREMENTS FOR HOSPICE INPATIENT UNITS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1203 ADDITIONAL SERVICES REQUIRED FOR HOSPICE INPATIENT CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 22, 2018 Necessary Yes 42 CFR 418.100
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1204 ADDITIONAL PATIENT CARE AREA REQUIREMENTS FOR HOSPICE INPATIENT UNITS Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary Yes 42 CFR 418.110
SECTION .1200 ‑ HOSPICE INPATIENT CARE 10A NCAC 13K .1205 FURNISHINGS FOR HOSPICE INPATIENT CARE Link goes outside of NC DHHS Readopted Eff. October 1, 2021 Necessary No
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