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County Disengagement Rules Page 2 of 2 <br /> <br />(1) the impact to and public comments received from consumers, advocates, self-advocates, and State and <br />Local CFACs within the county in response to Rule .0702(c) of this Section; <br />(2) the county's plan for disengagement from one LME-MCO and realignment with a different LME- <br />MCO; <br />(3) the county's plan to ensure continuity of services during the disengagement and realignment phase; <br />(4) whether the county has complied with the requirements of Rule .0702 of this Section; <br />(5) whether the county is contiguous to the catchment area of the LME-MCO with which it is requesting to <br />align; <br />(6) the timing of the request and whether the disengagement will conflict with setting capitation rates; <br />(7) whether the disengagement will impact the financial viability of the LME-MCO from which the county <br />is seeking to disengage; <br />(8) whether the disengagement and realignment will ensure compliance with the population requirements <br />of G.S. 122C-115(a); <br />(9) whether the disengagement and realignment will impact the stability, as a whole, of the State's <br />healthcare system; <br />(10) how the disengagement and realignment will affect the quality, variety, and amount of services for the <br />clients, as defined in G.S. 122C-3, in the subject county; and <br />(11) the operational alignment of the county within the context of the LME-MCO disengagement related to <br />geography, service delivery, and demonstrated provision of whole-person centered care. <br />(c) The Secretary shall issue a written decision to approve or deny the request for disengagement and realignment within <br />90 calendar days of receipt. <br />(d) The Secretary may approve the request as submitted or set conditions upon its issuance based upon consideration of <br />the factors set forth in Paragraph (b) this Rule. <br />(e) The Secretary shall notify the following of the decision to approve or deny a county request for disengagement and <br />realignment: <br />(1) The Board of County Commissioners of the county seeking to disengage; <br />(2) The Boards of County Commissioners of the counties of the LME-MCO with which realignment is <br />requested; <br />(3) The LME-MCO from which disengagement is sought; <br />(4) The LME-MCO with which realignment is requested; and <br />(5) The Co-Chairs of the Joint Legislative Oversight Committee on Health and Human Services. <br /> <br />History Note: Authority G.S. 122C-115; <br />Eff. February 1, 2017. <br /> <br /> <br />4