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22-6-14
Section 22-6-14 Autism Spectrum Disorder coverage and reimbursement under Alabama Medicaid
program. In the administration of and provision of benefits for the Alabama Medicaid program,
the Alabama Medicaid Agency, on and after December 31, 2018, shall provide coverage and reimbursement
for the treatment of Autism Spectrum Disorder in the same manner and same levels as health
benefit plans. (Act 2017-337, §2.)...
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22-1-18
Section 22-1-18 Autism Spectrum Disorder coverage and reimbursement under Children's Health
Insurance Plan. In the administration of and provision of benefits for the Children's Health
Insurance Plan (ALL Kids), the Alabama Department of Public Health, on and after December
31, 2018, shall provide coverage and reimbursement for the treatment of Autism Spectrum Disorder
in the same manner and same levels as health benefit plans. (Act 2017-337, §2.)...
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27-54A-2
Section 27-54A-2 Treatment under certain policies and contracts. (a) As used in this section,
the following words have the following meanings: (1) APPLIED BEHAVIOR ANALYSIS. The design,
implementation, and evaluation of environmental modifications, using behavioral stimuli and
consequences, to produce socially significant improvement in human behavior, including the
use of direct observation, measurement, and functional analysis of the relationship between
environment and behavior. (2) AUTISM SPECTRUM DISORDER. Any of the pervasive developmental
disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) or the edition that was in effect at the
time of diagnosis. (3) BEHAVIORAL HEALTH TREATMENT. Counseling and treatment programs, including
applied behavior analysis that are both of the following: a. Necessary to develop, maintain,
or restore, to the maximum extent practicable, the functioning of an...
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22-57-3
Section 22-57-3 Definitions. For purposes of this article, the following terms shall have the
following meanings: (1) AUTISM SERVICES. Any developmental services that include all of the
following: a. Are designed to meet developmental needs of an individual with ASD across the
lifespan, including transitions from early intervention to preschool, childhood to adolescence,
and adolescence to adulthood. b. Are selected in collaboration with the parents or guardians
of children with ASD or adults with ASD. c. Are delivered in inclusive environments, to the
extent practical. d. Are part of a coordinated system of care. (2) AUTISM SPECTRUM DISORDER
(ASD). ASD is a developmental disability that causes substantial impairments in social interaction
and communication and the presence of unusual behaviors and interests. Many people with ASD
have unusual ways of learning, paying attention, and reacting to different sensations. The
thinking and learning abilities of people with ASD can vary from...
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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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25-5-1
Section 25-5-1 Definitions. Throughout this chapter, the following words and phrases as used
therein shall be considered to have the following meanings, respectively, unless the context
shall clearly indicate a different meaning in the connection used: (1) COMPENSATION. The money
benefits to be paid on account of injury or death, as provided in Articles 3 and 4. The recovery
which an employee may receive by action at law under Article 2 of this chapter is termed "recovery
of civil damages," as provided for in Sections 25-5-31 and 25-5-34. "Compensation"
does not include medical and surgical treatment and attention, medicine, medical and surgical
supplies, and crutches and apparatus furnished an employee on account of an injury. (2) CHILD
or CHILDREN. The terms include posthumous children and all other children entitled by law
to inherit as children of the deceased; stepchildren who were members of the family of the
deceased, at the time of the accident, and were dependent upon him or...
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22-5D-8
Section 22-5D-8 Additional coverage not required under Medicaid. This chapter does not require
the Alabama Medicaid Program to provide additional coverage for an investigational drug, biological
product, or device. (Act 2015-320, §8.)...
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22-18-61
Section 22-18-61 Development and administration of program. (a) The Alabama Community College
System, the Alabama Fire College, and the University of South Alabama, in consultation with
the associations, shall jointly develop and administer a student tuition reimbursement program
for students that agree in the form of an enforceable contract agreement, to provide emergency
medical services for volunteer rescue squads or volunteer fire departments in Alabama after
becoming a licensed EMSP subject to the student agreeing to provide three years of service
to a volunteer rescue squad or volunteer fire department. (b) Tuition reimbursement under
this article shall be the actual tuition costs paid by the student associated with obtaining
certification. Tuition costs shall not be reimbursed until the student provides ACCS and the
associations with documentation that he or she has successfully completed the approved course
of instruction, proof of passing the certification exam, production of...
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40-26B-21
Section 40-26B-21 Privilege assessment on nursing facilities. To provide further for the availability
of indigent health care, the operation of the Medicaid program, and the maintenance and expansion
of medical services: (a) There is levied and shall be collected a privilege assessment on
the business activities of every nursing facility in the State of Alabama. The privilege assessment
imposed is in addition to all other taxes and assessments, and shall be at the annual rate
of one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96) for each
bed in the nursing facility. Beginning September 1, 2020, the privilege assessment shall be
increased from one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96)
for each bed in the nursing facility, by an addition to the privilege assessment equal to
three hundred twenty-seven dollars and forty-eight cents ($327.48) per annum. The addition
to the privilege assessment shall be paid in equal monthly...
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22-57-20
Section 22-57-20 Establishment of regional autism centers; constituency board; rules and regulations.
(a)(1) There is established in determined geographic regions of the state one or more autism
centers whose purpose is to provide nonresidential resource and training services for persons
of all ages and of all levels of intellectual functioning who have any of the following: a.
Autism. b. A pervasive developmental disorder that is not otherwise specified. c. As determined
by the Alabama Interagency Autism Coordinating Council, other disability populations which
may receive benefit from the services and activities of the regional centers. (2) Each center
shall be operationally and fiscally independent, and provide evidence-based services within
its geographical region of the state. Service delivery shall be consistent for all centers.
Each center shall coordinate services within and between state and local agencies and school
districts but may not duplicate services provided by those...
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