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34-23-116
Section 34-23-116 Article not applicable to certain services. This article shall not apply
to any services rendered pursuant to provisions of the Alabama Medicaid Program, to the Public
Education Employees' Health Insurance Plan, or to any corporation organized under the provisions
of Title 10, Chapter 4, Article 6, for establishment and operation of health care service
plans. (Acts 1981, No. 81-337, p. 477, §7; Acts 1983, No. 83-637, p. 986, §§1, 2; Act 2012-478,
p. 1325, §1.)...
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40-26B-82
Section 40-26B-82 Effectiveness and cessation. (a) The assessment imposed under this article
shall not take effect or shall cease to be imposed and any moneys remaining in the Hospital
Assessment Account in the Alabama Medicaid Program Trust Fund shall be refunded to hospitals
in proportion to the amounts paid by them if any of the following occur: (1) Expenditures
for hospital inpatient and outpatient services paid for by the Alabama Medicaid Program for
fiscal years 2020, 2021, and 2022, are less than the amount paid during fiscal year 2017.
Reimbursement rates under this article for fiscal years 2020, 2021, and 2022, are less than
the rates approved by CMS in Sections 40-26B-79 and 40-26B-80. (2) The Medicaid Agency makes
changes in its rules that reduce hospital inpatient payment rates, outpatient payment rates,
or adjustment payments, including any cost settlement protocol, that were in effect on September
30, 2019. (3) The inpatient or outpatient hospital access payments required...
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22-6-6.1
Section 22-6-6.1 Assignment to state of recipients' rights to payments for medical care; authorization
to release needed information. (a) Every recipient of medical assistance under the Alabama
Medicaid Program shall be deemed to have made assignment to the State of Alabama of any and
all rights of his to medical support or payments for medical care from any person, firm or
corporation, together with the rights of any other individuals eligible for medical assistance
for whom he can legally make assignment. This assignment shall be effective to the extent
of the amount of medical assistance actually paid by the Medicaid Agency. The recipient shall
cooperate fully with the Medicaid Agency in its efforts to secure such rights, and shall execute
and deliver all instruments and papers needed by the Medicaid Agency in this regard. (b) Every
recipient of medical assistance under the Alabama Medicaid Program shall be deemed to have
authorized all third parties, including insurance companies...
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38-14-10
Section 38-14-10 Eligibility for means-tested public benefits. (a) An account owner's savings
and matching funds shall not affect his or her eligibility for any means-tested public benefits,
including, but not limited to, Medicaid, state children's health insurance programs, TANF,
Supplemental Nutrition Assistance Program, supplemental security income, or government-subsidized
foster care and adoption payments, and child care or housing payments. (b) Funds deposited
in individual development accounts shall not be counted as income, assets, or resources of
the account owner for the purpose of determining financial eligibility for assistance or service
pursuant to any federal, federally assisted, state, or municipal program based on need. (Act
2011-641, p. 1626, §10.)...
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40-26B-6
Section 40-26B-6 Use of revenues; reimbursement. (a) The Alabama Medicaid Agency shall use
the revenues from the tax levied by this article in furtherance of the purposes of this article,
provided that any such uses shall be limited to those for which federal financial participation
under Title XIX of the Social Security Act is available. (b) Any reimbursement due a pharmaceutical
provider under the Medicaid Program shall be paid in a timely fashion. If the amount payable
is not in dispute and is not paid by the Alabama Medicaid Agency within 30 days of the due
date, interest on the amount due shall be charged. The interest shall be the legal amount
currently charged by the state. (Acts 1991, No. 91-124, p. 148, §5.)...
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20-3-2
Section 20-3-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ASSISTED LIVING FACILITY. An institution or facility licensed as an assisted
living facility under regulations of the State Board of Health. (2) CHARITABLE CLINIC. The
term includes an established free medical clinic as defined in subdivision (1) of Section
6-5-662 and any community health center provided for under the federal Public Health Service
Law. (3) CHARITABLE PATIENT. For purposes of this chapter, the term shall not include patients
who are eligible to receive drugs under the Alabama Medicaid Program or under any other prescription
drug program funded in whole or in part by the state. (4) DRUGS. All medicinal substances
and preparations recognized by the United States Pharmacopoeia and National Formulary, or
any revision thereof, and all substances and preparations intended for external and internal
use in the cure, diagnosis, mitigation, treatment, or prevention of...
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22-2A-2
Section 22-2A-2 Definitions. As used in this chapter the following terms shall have the following
meanings: (1) MULTI-STATE POOLING INITIATIVE. A group of two or more states working together
to reduce the cost of pharmaceuticals purchased or paid for by those states. (2) PHARMACEUTICAL
or DRUG. Any medicinal substance, preparation, or device recognized by the United States Pharmacopoeia
and National Formulary, or any revision thereof, and any substance and preparation intended
for external and internal use in the cure, diagnosis, mitigation, treatment, or prevention
of disease in humans, and any substance and preparation other than food intended to affect
the structure or any function of the human body. (3) PHARMACEUTICAL PROGRAM. A program administered
by the Department of Mental Health, Department of Corrections, Department of Public Health,
Department of Youth Services, or the Department of Rehabilitation Services, pursuant to which
pharmaceuticals are purchased for use by clients....
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40-26B-1
Section 40-26B-1 Definitions. The following words, terms and phrases, when used in this article
shall have the meanings ascribed to them in this section, except where the context clearly
indicates a different meaning: (1) DEPARTMENT. The Department of Revenue of the State of Alabama.
(2) FISCAL YEAR. An accounting period of 12 months beginning on the first day of the first
month of the state fiscal year. (3) MEDICAID PROGRAM. The medical assistance program as established
in Title XIX of the Social Security Act and as administered in the State of Alabama by the
Alabama Medicaid Agency pursuant to executive order and Title 560 of the Alabama Administrative
Code. (4) PHARMACEUTICAL PROVIDER. A provider of drugs, medicines, chemicals and poisons which,
pursuant to a valid prescription, are offered for sale, compounded or dispensed to citizens
of Alabama. This term shall include all places whose title may imply the sale, offering for
sale, compounding or dispensing, of drugs, medicines,...
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22-6-30
Section 22-6-30 Fund established; purpose. There is hereby established the Alabama Health Care
Trust Fund in the State Treasury for the purpose of further providing for the operation of
the Medicaid Program and the maintenance and expansion of medical services available thereunder.
This fund shall consist of revenues received from certain taxes levied on providers of medical
services. (Acts 1991, No. 91-125, p. 152, §1.)...
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22-6-42
Section 22-6-42 Administration of financing program; establishment of rules and criteria for
alleviating rural problems and reducing high infant mortality rates. The Alabama Medicaid
Agency is hereby authorized to develop and administer the financing program and establish
the appropriate rules necessary to promote new obstetrical services and set additional criteria
necessary to alleviate the problems in the rural areas to reduce the high infant mortality
rates. (Acts 1991, No. 91-596, p. 1099, §3.)...
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