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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...
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12-23A-6
Section 12-23A-6 Assessments and recommendations; treatment services. (a) As part of
the assessment, each jurisdiction shall establish a system to ensure that drug offenders are
placed into a substance abuse treatment program approved by the Department of Mental Health.
To accomplish this, the entity conducting the assessment should make specific recommendations
to the drug court team regarding the level of treatment program and duration necessary so
that the individualized needs of a drug offender may be addressed. These assessments and resulting
recommendations shall be performed by a certified or licensed alcohol and drug professional
in accordance with the criteria certified by the Department of Mental Health, Substance Abuse
Services Division. Treatment recommendations accepted by the court, pursuant to this chapter,
shall be deemed to be reasonable and necessary. (b) An adequate continuum of care for drug
offenders shall be established in response to this chapter. (c) The drug...
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22-13A-8
Section 22-13A-8 Department authorized to replicate programs and enter into contracts
with organizations with expertise. (a) The department may replicate and use successful osteoporosis
programs and enter into contracts and purchase materials or services, or both, from organizations
with appropriate expertise and knowledge of osteoporosis for services and materials which
may include any of the following: (1) Educational information and materials on the causes,
prevention, detection, treatment, and management of osteoporosis. (2) Training of staff. (3)
Physician and health care professional education and training, and clinical conferences. (4)
Conference organization and staffing. (5) Regional office development and staffing. (6) Nominations
for advisory panels. (7) Support group development. (8) Consultation. (9) Resource library
facilities. (10) Training home health aides and nursing home personnel. (11) Training teachers.
(b) The department may enter into an agreement to work with a...
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22-50-82
Section 22-50-82 Development of educational programs and services; instructors and training.
(a) Subject to Section 22-50-84, the Department of Public Health may develop educational
programs and services concerning Alzheimer's disease, dementia, and related diseases. These
programs and services shall be offered to individuals with Alzheimer's disease, dementia,
or related diseases, the families of these individuals, and the general public. (b)(1) The
department may provide instructors to train and provide support to each of the following:
a. Members of the families of individuals with Alzheimer's disease, dementia, or similar diseases.
b. Health care providers who provide care for individuals with Alzheimer's disease, dementia,
or similar diseases at the home of the individual or a member of the family of the individual,
or a similar residential location. c. Other caregivers who provide care for individuals with
Alzheimer's disease, dementia, or similar diseases at the home of the...
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21-9-2
Section 21-9-2 Definitions. For the purposes of this chapter, the following words and
phrases shall have the respective meanings ascribed to them by this section: (1) BOARD.
The Board of Rehabilitation Services. (2) COMMISSIONER. The Commissioner of the Department
of Rehabilitation Services, who shall administer the department. (3) COMPONENT PROGRAMS. The
following programs administered by the department: a. Children's Rehabilitation Service. A
service program that provides educational, medical, and habilitative services including recreational
and physical fitness services for children with special health care needs, including coordination
and support for their families through statewide community-based programs. b. Early Intervention
Program. A program that provides early intervention services for children, up to the age of
three years, who are born with disabling conditions or who are at risk for developmental delay.
c. Adult Vocational Rehabilitation Service. A service program that...
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22-6-191
Section 22-6-191 Legislative intent. The intent of this article is to allow the only
PACE provider in the State of Alabama to continue to provide services to nursing home eligible
patients as the PACE program provides treatment to patients for fewer federal and state taxpayer
dollars than other programs existing in the state. The Legislature declares that this article
is broad-based in nature as the assessment herein is imposed on all health care or services
in the class of providers and is uniformly imposed across all providers. The Legislature further
declares that the entire PACE industry in Alabama exists only in Class 2 municipalities. The
Legislature further recognizes that a Class 2 municipality bill is a general bill under the
Alabama Constitution. (Act 2014-126, p. 236, ยง2.)...
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22-5B-2
Section 22-5B-2 Legislative findings. (a) The legislative findings, purpose, and intent
of this chapter are to develop the infrastructure for a statewide network of lifespan respite
programs in Alabama and for Alabama Respite to be the statewide entity to address issues relating
to respite care in our state. (b) The Alabama Legislature makes the following findings: (1)
Respite is short term temporary relief that can make a world of difference for family caregivers
of both children and adults with disabilities and other health care needs. (2) Respite is
one of the home and community-based services most requested by family caregivers, yet remains
in short supply. (3) As of 2012, over 818,000 adults in Alabama are caregivers for a family
member. (4) Respite helps preserve families by reducing stress, supporting stability, preventing
situations that can lead to abuse and neglect, and reducing the incidence of divorce and out-of-home
placement. (5) Respite is a simple, cost-effective...
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25-5-312
Section 25-5-312 Powers and duties of the board. The board shall exercise general supervision
in all matters related to the provision of medical services provided by physicians, as defined
in Section 25-5-310, rendered to workers under this article. The duties of the board
shall include, but are not limited to, the following: (1) Study, develop, and implement any
necessary and reasonable guidelines for medical services and physician care provided by physicians.
In addition, with respect to services provided by physicians, the board shall study, develop,
and recommend to the secretary uniform medical criteria and policies for the conduct of utilization
review, bill screenings, and medical necessity determinations for use by insurance carriers,
self-insurers, and claims administrators. (2) Study, design, and implement standardized uniform
claims processing forms and forms for the reporting of medical information to employers and
insurance companies by physicians. (3) Address and give...
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26-24-3
Section 26-24-3 Duties of secretary. The duties of the secretary shall include, but
not be limited to, all of the following: (1) Advising the Governor and the Legislature in
matters relating to the coordination of services for children under the age of 19. (2) Serving
as a liaison between the Governor and state agencies providing programs or services for children.
(3) Educating and informing legislators and other elected officials about issues affecting
children. (4) Coordinating local effort by creating a network of existing local and community
groups and advocates dedicated to children to enable beneficial organizations throughout the
state to assist and educate each other. (5) Actively seeking and applying for federal and
private grants to fund children's programs. (6) Establishing a repository for information
on programs other than education programs offered by the Department of Education for K-12
in Alabama, which offer services for, or are for the benefit of, or in any way affect...
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21-9-9
Section 21-9-9 Duties of board. The board shall perform all of the following duties:
(1) Make rules and regulations for the provision of rehabilitation services. (2) Direct and
supervise the expenditure of legislative appropriations for rehabilitation services. (3) Prescribe
qualifications for the commissioner, directors, professionals, and administrative and clerical
employees. (4) Disseminate information concerning and promoting interest in disability and
rehabilitation issues among the citizens of Alabama. (5) Take appropriate action to guarantee
rights of and services to people with disabilities. (6) Delegate to any employee of the department
any necessary powers and duties. (7) Serve as the governing authority of programs administered
by the department, including but not limited to: The administration of the state's plan under
the "Rehabilitation Act of 1973, as amended"; the Social Security Act, Title V,
which relates to children with special health care needs; and the...
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