|
22-21B-3
Section 22-21B-3 Definitions. The following words and terms shall have the meanings ascribed
to them in this section, unless otherwise required by their respective context: (1) CONSCIENCE.
The religious, moral, or ethical principles held by a health care provider. (2) DISCRIMINATION.
Discrimination includes, but is not limited to: Hiring, termination, refusal of staff privileges,
refusal of board certification, demotion, loss of career specialty, reduction of wages or
benefits, adverse treatment in the terms and conditions of employment, refusal to award any
grant, contract, or other program, or refusal to provide residency training opportunities.
(3) HEALTH CARE PROVIDER. Any individual who may be asked to participate in any way in a health
care service, including, but not limited to: A physician, physician's assistant, nurse, nurse's
aide, medical assistant, hospital employee, clinic employee, nursing home employee, pharmacist,
researcher, medical or nursing school faculty, student,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21B-3.htm - 3K - Match Info - Similar pages
27-19-105
Section 27-19-105 Regulations for long-term care policies; outline of coverage, policy summary,
and monthly report. (a) The commissioner may adopt regulations that include standards for
full and fair disclosure setting forth the manner, content, and required disclosures for the
sale of long-term care insurance policies, terms of renewability, initial and subsequent conditions
of eligibility, nonduplication of coverage provisions, coverage of dependents, preexisting
conditions, termination of insurance, continuation or conversion, probationary periods, limitations,
exceptions, reductions, elimination periods, requirements for replacement, recurrent conditions,
and definitions of terms. Regulations under this subsection should recognize the developing
and unique nature of long-term care insurance and the distinction between group and individual
long-term insurance policies. (b) No long-term care insurance policy may do any of the following:
(1) Be cancelled, nonrenewed, or otherwise...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-105.htm - 11K - Match Info - Similar pages
34-23-183
Section 34-23-183 Application. This article shall apply to any audit of the records of a pharmacy
conducted by a managed care company, nonprofit hospital or medical service organization, health
benefit plan, third-party payor, pharmacy benefit manager, a health program administered by
a department of the state, except the Alabama Medicaid Agency, or any entity that represents
those companies, groups, or department. (Act 2012-306, p. 668, §4; Act 2018-457, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-23-183.htm - 779 bytes - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-13A-8.htm - 1K - Match Info - Similar pages
22-6-230
Section 22-6-230 Rates for contracting services; provider requirements. An integrated care
network shall contract with any willing nursing home, doctor, home and community waiver program,
or other provider to provide services through an integrated care network if the provider is
willing to accept the payments and terms offered comparable providers, where applicable, but
in no event less than amounts historically paid by the Medicaid Agency to comparable providers.
To the extent that the Medicaid Agency currently calculates and establishes provider-specific
rates for any provider category on an annualized basis, it shall continue to calculate and
establish such rates and the integrated care network shall be required to offer providers
from that category not less than their established rates. Any provider shall meet licensing
requirements set by law, shall have a Medicaid provider number, and shall not otherwise be
disqualified from participating in Medicare or Medicaid. (Act 2015-322,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-230.htm - 1K - 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
22-21-294
Section 22-21-294 Certification of indigency; rules. Not later than October 1, 1979, the Department
of Human Resources shall adopt rules which provide a statewide eligibility standard to certify
residents of each county as indigent for the purposes of this article. These rules shall further
provide that certification as indigent for the purposes of this article may occur either prior
to a person's admission to a regional referral hospital, or subsequent to such admission for
an emergency condition, but in any event if a determination of whether a patient meets or
does not meet eligibility standards for certification as indigent for the purpose of this
article is not made within 90 days following written notification by the regional referral
hospital to the county of residence of the patient's admission to a regional referral hospital,
the patient shall be considered to have been a certified indigent patient upon admission.
A patient certified as indigent for the purpose of this article...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-294.htm - 1K - Match Info - Similar pages
29-2-105
Section 29-2-105 Coordination council - Composition; meetings; duties. (a) The committee shall
convene a council composed of the chair of the committee or his or her designee and the commissioner
or the commissioner's designee of each department of state government that administers services
to children, youth, and their families, including, but not limited to, the Department of Education,
the Department of Human Resources, the Department of Mental Health, the Department of Public
Health, the Medicaid Agency, the Department of Youth Services, the Department of Rehabilitation
Services, one member from the Alabama Association of County Directors of Human Resources appointed
by that organization, one member from the Alabama Residential Child Care Association appointed
by that organization, two members from the Alabama Foster Parent Association appointed by
that organization, one member from the Juvenile Court Judges Association appointed by that
organization, one guardian ad litem...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/29-2-105.htm - 3K - Match Info - Similar pages
22-5B-3
Section 22-5B-3 Definitions. When used in this chapter, the following words shall have the
following meanings: (1) ADULT WITH SPECIAL NEED. A person 19 years of age or older who requires
care or supervision to meet the person's basic needs or prevent physical self-injury or injury
to others, or avoid placement in an institutional facility. (2) AGING AND DISABILITY RESOURCE
CENTER. An entity that provides a coordinated system for providing information on long-term
care programs and options, personal counseling, and consumer access to publicly support long-term
care programs. (3) CHILD WITH SPECIAL NEED. A person under age 19 who requires care or supervision
beyond that required for children generally to meet the child's basic needs or prevent physical
injury to self or others. (4) ELIGIBLE STATE AGENCY. A state agency that administers the Older
Americans Act or the state's Medicaid program or one designated by the Governor, and is an
aging and disability resource center working in...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5B-3.htm - 2K - Match Info - Similar pages
31-9B-3
Section 31-9B-3 Providing of information; requirements for emergency and disaster planning
provisions; immunity. (a) All appropriate agencies and community-based service providers,
including, but not limited to, home health care providers, hospices, community mental health
centers, and related facilities, but not including health care facilities which provide inpatient
care to include general and specialized hospitals including ancillary services, skilled nursing
facilities, intermediate care facilities, or any assisted living facility, shall provide information
on the number of individuals with medical needs and shall assist the State Health Department
in the establishment of programs to increase the awareness of medical needs shelters, and
in educating clients and sponsors or caregivers about the procedures that may be necessary
for their safety during disasters. (b) State agencies that regulate or contract with providers
of services, or both, for persons with disabilities or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/31-9B-3.htm - 3K - Match Info - Similar pages
|