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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) COLLABORATOR. A private
health carrier, third party purchaser, provider, health care center, health care facility,
state and local governmental entity, or other public payers, corporations, individuals, and
consumers who are expecting to collectively cooperate, negotiate, or contract with another
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-220.htm - 3K - Match Info - Similar pages
45-2-171.21
Section 45-2-171.21 Baldwin County Indigent Care Board authorized. At the determination of
the county commission, there may be hereby established the Baldwin County Indigent Care Board,
hereinafter referred to as the board, whose composition and duties shall be as follows: (1)
The county commission may appoint a Baldwin County Indigent Care Board which shall consist
of four members who are duly qualified electors of Baldwin County, but no member of such board
shall be employed by any hospital. Of the members of the board first appointed under the provisions
of this section, one shall be appointed for a term of one year, one shall be appointed for
a term of two years, one shall be appointed for a term of three years and one shall be appointed
for a term of four years. Thereafter, their successors shall be appointed for terms of four
years and may be appointed to succeed themselves as members of the board. The county commission
shall appoint all members of the board. In the event the...
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22-5D-4
Section 22-5D-4 Coverage and costs. (a) This chapter does not expand the coverage required
of an insurer. (b) A health plan, third party administrator, or governmental agency is not
required to provide coverage for the cost of an investigational drug, biological product,
or device, or the cost of services related to the use of an investigational drug, biological
product, or device under this chapter. (c) This chapter does not require any governmental
agency to pay costs associated with the use, care, or treatment of a patient with an investigational
drug, biological product, or device. (d) This chapter does not require a hospital or other
health care facility to provide new or additional services, unless approved by the hospital
or facility. (Act 2015-320, ยง4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5D-4.htm - 1K - Match Info - Similar pages
22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-150.htm - 2K - Match Info - Similar pages
38-9C-5
Section 38-9C-5 Providers who contract with agencies or programs required to develop written
policies to ensure rights. All providers who contract or subcontract with any federal, state,
or local agency or program to provide services in the State of Alabama to persons with developmental
disabilities or traumatic brain injury in Alabama shall develop and implement written
policies and procedures to ensure the rights enumerated above are observed by the provider
in discharging its contractual or subcontractual duties and responsibilities. At a minimum,
these policies and procedures shall provide for the following: (1) Affirm and safeguard the
rights stated in this chapter. (2) Provide that prompt, reasonable action be taken to prevent
the potential for further abuse while an investigation is in process. (3) Provide for a prompt
and thorough investigation of all allegations of abuse, exploitation, or neglect by trained,
experienced personnel delegated with all necessary authority. (4)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/38-9C-5.htm - 2K - Match Info - Similar pages
41-16-143
Section 41-16-143 Request for proposals; meeting; public notice; guarantee required; bond;
type, duration, funding, etc., of contract. (a) Before entering into a guaranteed energy cost
savings contract, a governmental unit shall submit a request for proposals. The governmental
unit shall evaluate any proposal from a qualified provider and shall select the qualified
provider that best meets the needs of the unit. After reviewing the proposals, the governmental
unit may enter into a guaranteed energy cost savings contract with a qualified provider if
it finds that the amount it would spend on the energy cost savings measures recommended in
the proposal would not exceed the amount of energy or operational cost savings, or both, within
the lesser of a 20-year period or the average useful life of the energy cost savings measures
from the date installation is complete and has been accepted by the governmental unit, if
the recommendations in the proposal are followed. The governmental unit...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/41-16-143.htm - 4K - Match Info - Similar pages
10A-20-6.03
Section 10A-20-6.03 Health care facilities which may participate. Any health care facility
capable of entering into a binding contract may participate as a member of the corporation
if the health care facility: (1) Is approved by the appropriate state licensing agency having
regulatory control over the facility; and (2) Is accepted as a member by majority vote of
the corporation's board of directors. The corporation and all health care facilities approved
and accepted for membership shall enter into contracts which shall govern their respective
rights and obligations and which shall be adopted and may be altered, amended, or repealed
by majority vote of the board of directors of the corporation. The board of directors of the
corporation may terminate the membership and the contract of any health care facility for
any cause deemed proper by it at any time by a majority vote. Such member may be reinstated
by a majority vote of the board of directors. (Acts 1935, No. 544, p. 1157; Acts...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/10A-20-6.03.htm - 1K - Match Info - Similar pages
22-11A-67
Section 22-11A-67 Records and information necessary to assist investigation. (a) Any health
care worker found to have HBV, HIV, or HCV, or other disease designated by the State Board
of Health and any health care facility at which an infected health care worker is employed
or practices shall make available to the State Board of Health, and to the expert review panel,
any and all patient medical records and other records requested by those groups, except that
records or documents greater than three years old shall not be provided. (b) The following
persons and facilities shall provide to the State Board of Health and the expert review panel
all requested documents or records three years old or less: (1) Any person having knowledge
of a health care worker diagnosed as infected with HIV, HBV, HCV, or other disease designated
by the State Board of Health. (2) The administrator of any health facility having knowledge
of a health care worker diagnosed as infected with HIV, HBV, HCV, or other...
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27-19-103
would result in economies of acquisition or administration. 3. The benefits are reasonable
in relation to the premiums charged. (5) LONG-TERM CARE INSURANCE. Any insurance policy or
rider advertised, marketed, offered, or designed to provide coverage for not less than 12
consecutive months for each covered person on an expense incurred, indemnity, prepaid, or
other basis for one or more necessary or medically necessary diagnostic, preventive, therapeutic,
rehabilitative, maintenance, or personal care services, provided in a setting other
than an acute care unit of a hospital. This term includes group and individual annuities and
life insurance policies or riders that provide directly or that supplement long-term care
insurance. This term also includes a policy or rider that provides for payment of benefits
based upon cognitive impairment or the loss of functional capacity. The term shall also include
qualified long-term care insurance contracts. Long-term care insurance may be...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-103.htm - 9K - Match Info - Similar pages
27-49-3
Section 27-49-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, policy, or contract for health
care services issued, delivered, issued for delivery, renewed in this state by a health care
insurer, health maintenance organization, accident and sickness insurer, fraternal benefit
society, nonprofit hospital service corporation, nonprofit medical service corporation, health
care service plan, or any other person, firm, corporation, joint venture, or other similar
business entity that pays for, purchases, or furnishes health care services to patients, insureds,
or beneficiaries in this state. The term includes, but is not limited to, entities created
pursuant to Article 6 of Chapter 4 of Title 10. For the purposes of this chapter, a health
benefit plan located or domiciled outside of the State of Alabama is deemed to be subject
to the provisions of this chapter if it receives, processes,...
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