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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 28F, ADMISSION AND DISCHARGE | Agency - DHHS Commission for Mental Health/DD/SAS

Periodic Review of Rules

Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, the Commission for Mental Health, Developmental Disabilities, and Substance Abuse Services and the Division of Mental Health, Developmental Disabilities, and Substance Use Services have posted Initial Determination Reports for the rules in 10A NCAC Subchapters 28F 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:  June 7 through August 4, 2026.

Direct Comments to the following:
Denise Baker
3001 Mail Service Center
Raleigh, NC 27699-3001
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 - ADMISSIONS 10A NCAC 28F .0101 REGIONS FOR DIVISION INSTITUTIONAL ADMISSIONS Link goes outside of NC DHHS Amended Eff. May 1, 2024 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0201 SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0202 EXPLANATION OF TERMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0203 AUTHORIZATION OF HOSPITALIZATION BY AREA PROGRAM Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0204 AUTHORIZATION OF HOSPITALIZATION WHEN INDIVIDUAL ARRIVES DIRECTLY AT HOSPITAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0205 WRITTEN EVALUATION BY AREA PROGRAM Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0206 ADDITIONAL INFORMATION FOR TREATMENT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0207 COMMUNICATION TO AREA PROGRAM REGARDING ADMISSION/DENIAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0208 GENERAL CRITERIA FOR ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0209 COORDINATION AND CONTINUITY OF CLIENT CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0210 NOTIFICATION OF CLIENT HEARING AND/OR DISCHARGE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0211 PLACEMENT OF CLIENTS OUTSIDE THEIR COUNTY OF RESIDENCE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0212 RESOLUTION OF DIFFERENCES OF OPINION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0200 - VOLUNTARY ADMISIONS, INVOLUNTARY COMMITEMENTS AND DISCHARGES OF ADULTS FROM REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0213 REFERRALS OF MINORS FROM A NON-SINGLE PORTAL AREA Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0301 ORGANIZATION OF STAFFS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0302 APPLICANTS FOR MEMBERSHIP Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0303 MEDICAL DIRECTOR OF HOSPITAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0304 APPLICATION PROCESS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0305 RESTRICTION OR TERMINATION OF STAFF PRIVILEGES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0306 EMERGENCY AND TEMPORARY PRIVILEGES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0307 DIVISIONS OF STAFF Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0300 ‑ MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS 10A NCAC 28F .0308 MEDICAL STAFF BYLAWS FORM Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0401 SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0402 DEFINITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0403 IDENTIFICATION OF BEHAVIOR THERAPY PROGRAMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0404 REQUIRED FACILITY MANUALS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0405 REQUIRED PROGRAM MANUAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0400 ‑ HOSPITAL BEHAVIOR THERAPY PROGRAMS 10A NCAC 28F .0406 INSTITUTIONAL BEHAVIOR THERAPY COMMITTEE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0500 ‑ DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0501 SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0500 ‑ DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0502 APPLICATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0500 ‑ DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0503 REVIEW PROCESS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0500 ‑ DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0504 DESIGNATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0601 SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0602 EXPLANATION OF TERMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0603 APPLICATION FOR ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0604 GENERAL CRITERIA FOR VOLUNTARY ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0605 RECORD KEEPING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0606 DISCHARGE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0600 ‑ VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS 10A NCAC 28F .0607 PAYMENT FOR PARTICIPATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0700 ‑ ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL 10A NCAC 28F .0701 PURPOSE AND SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0700 ‑ ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL 10A NCAC 28F .0702 DEFINITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0700 ‑ ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL 10A NCAC 28F .0703 ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0700 ‑ ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL 10A NCAC 28F .0704 TRANSFER OF DEAF CLIENTS TO THE DOROTHEA DIX DEAF UNIT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0700 ‑ ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL 10A NCAC 28F .0705 DOROTHEA DIX HOSPITAL DEAF UNIT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0801 VOLUNTARY ADMISSIONS TO MR CENTERS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0802 CRITERIA FOR ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0803 RESPITE CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0804 PRIORITY OF ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0805 REGIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0800 - GENERAL RULES FOR MR CENTERS 10A NCAC 28F .0806 DISCHARGE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) 10A NCAC 28F .0901 SCOPE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) 10A NCAC 28F .0902 PROCEDURES FOR VOLUNTARY ADMISSION AND DISCHARGE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) 10A NCAC 28F .0903 APPOINTMENTS FOR ADMISSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .1000 ‑ PROBATION AND DISCHARGE 10A NCAC 28F .1001 PROBATION AND DISCHARGE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
SECTION .1000 ‑ PROBATION AND DISCHARGE 10A NCAC 28F .1002 CENTER RULE VIOLATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019 Necessary No
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