|
13A-9-150
Section 13A-9-150 Public assistance fraud; penalties. (a) For the purposes of this section,
public assistance means money or property provided directly or indirectly to eligible persons
through programs of the federal government, the state, or any political subdivision thereof,
including any program administered by a public housing authority. (b) It shall be unlawful
for an individual or business entity to knowingly do any of the following: (1) Fail, by false
statement, misrepresentation, impersonation, or other fraudulent means, to disclose a material
fact used in making a determination as to the qualification of the person to receive public
assistance. (2) Fail to disclose a change in circumstances in order to obtain or continue
to receive any public assistance to which he or she is not entitled or in an amount larger
than that to which he or she is entitled. (3) Aid and abet another person in the commission
of the prohibitions enumerated in subdivisions (1) and (2). (4) Use,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/13A-9-150.htm - 12K - Match Info - Similar pages
40-26B-26
Section 40-26B-26 Reduction of revenues; reimbursement computations; quality incentive program.
THIS SECTION WAS AMENDED BY ACT 2020-147 IN THE 2020 REGULAR SESSION, EFFECTIVE MAY 18, 2020.
THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) No revenues resulting from the privilege assessment
established by this article and applied to increases in covered services or reimbursement
levels or other enhancements of the Medicaid program shall be subject to reduction or elimination
while the privilege assessment is in effect. (b) Every nursing facility participating in the
Medicaid program in the State of Alabama shall be reimbursed according to the reimbursement
methodology contained in Chapter 560-X-22 of the Alabama Medicaid Agency Administrative Code
(Supp. 12/31/95) on January 31, 1998, which methodology is incorporated by reference herein,
except that the following shall apply: (1) The ceiling for the operating cost center described
in Title 560-X-22-.06 (2)(a) of the Alabama Medicaid...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-26.htm - 8K - Match Info - Similar pages
22-11A-121
Section 22-11A-121 Use of data. (a) The department shall utilize the data and information received
for the benefit of the public. (b) Individual patient data submitted to the department by
health care facilities pursuant to this article shall at all times remain confidential and
privileged from discovery. This article does not expand or repeal any protection from discovery,
privilege, or confidentiality for patient specific information that exists by statute, regulation,
or decision by a court of final jurisdiction. (Act 2009-490, p. 900, §12.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-121.htm - 869 bytes - Match Info - Similar pages
22-52-17
Section 22-52-17 Public facilities other than Department of Mental Health not required to perform
mental evaluations; exceptions. Notwithstanding any other language in this article, the following
limitations shall apply. No public facility other than the Department of Mental Health may
be required (as distinguished from authorized) by the probate court to perform any mental
evaluation of a person sought to be committed for use in any final commitment hearing except:
(1) In an emergency case wherein no other source or agency which is funded or mandated by
federal law, state law or both to provide such services is objectively capable of performing
such evaluation within the time limit imposed by law; or (2) In an emergency case wherein
no other source or agency operates to perform such evaluation in such emergency case, a public
hospital may be required to accept a person sought to be committed for the provision of hospital
care, if such person is admitted to the public hospital or other...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-52-17.htm - 2K - Match Info - Similar pages
22-11A-115
Section 22-11A-115 Submission of first report. Within one year of the certification by the
department, health care facilities shall make the first report due under this article. The
board shall specify by rule the types of information on patients with health care facility
acquired infections which shall be submitted and the method of submission. The first report
due under this article submitted by health care facilities shall only be required to cover
those persons provided services during the immediately preceding three months' time period.
(Act 2009-490, p. 900, §6.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-115.htm - 884 bytes - Match Info - Similar pages
22-11A-117
Section 22-11A-117 Studies and publication. The department may undertake a reasonable number
of studies and publish information in collaboration with licensed health care providers based
upon the data obtained pursuant to the provisions of this article. One of the purposes for
such studies will be to provide specific comparative health care facility acquired infection
rates. The department shall allow all health care facilities that have submitted data which
will be used in any report to review and comment on the report prior to its publication or
release for general public use. The department shall include comments of a health care facility,
at the option of the health care facility, in the publication, if the department does not
change the publication based upon those comments. (Act 2009-490, p. 900, §8.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-117.htm - 1K - Match Info - Similar pages
22-13-31
Section 22-13-31 Registry established; reporting of confirmed cases. (a) There is hereby established
within the Department of Public Health the Alabama Statewide Cancer Registry for the purpose
of providing accurate and up-to-date information about cancer or benign brain-related tumors
in Alabama and facilitating the evaluation and improvement of cancer or benign brain-related
tumor prevention, screening, diagnosis, therapy, rehabilitation, and community care activities
for the citizens of Alabama. The State Committee of Public Health shall adopt rules necessary
to effect the purposes of this article, including the data to be reported, and the effective
date after which reporting shall be required. For the purposes of this article, cancer means
all malignant neoplasms, regardless of the tissue of origin, including malignant lymphoma,
Hodgkin's disease, and leukemia, but excluding basal cell and squamous cell carcinoma of the
skin and carcinoma in situ of the cervix. (b) All cases of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-13-31.htm - 1K - Match Info - Similar pages
27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-17.htm - 17K - Match Info - Similar pages
22-11A-114
Section 22-11A-114 Reporting categories. (a) All general, critical access, and specialized
hospitals licensed pursuant to Section 22-21-20, shall report data on health care facility
acquired infections for the specific clinical procedures as recommended by the council and
defined by the department, in the following categories: Surgical site infections; ventilator
associated pneumonia and central line related bloodstream infections. (b) The board may promulgate
rules to require health care facilities licensed pursuant to Section 22-21-20, to collect
data on health care facility acquired infection rates either in lieu of or in addition to
the categories specified in this section. (Act 2009-490, p. 900, §5.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-114.htm - 1K - Match Info - Similar pages
22-11A-60
Section 22-11A-60 Definitions. As used in this article, the following words shall have the
following meanings: (1) HEALTH CARE FACILITY. A hospital, nursing home, ambulatory surgical
center, outpatient surgical facility, ambulance service, rescue squad, paid fire department,
volunteer fire department, or any other clinic, office, or facility in which medical, dental,
nursing, or podiatric services are offered. (2) HEALTH CARE WORKER. Physicians, dentists,
nurses, respiratory therapists, phlebotomists, surgical technicians, physician assistants,
podiatrist, dialysis technicians, emergency medical technicians, paramedics, ambulance drivers,
dental hygienists, dental assistants, students in the healing arts, or any other individual
who provides or assists in the provision of medical, dental, or nursing services. (3) HEPATITIS
B VIRUS (HBV) INFECTION. The presence of the HBV as determined by the presence of hepatitis
B(e) antigen for six months or longer or by other means as determined by...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-60.htm - 3K - Match Info - Similar pages
|