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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words
shall have the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency
makes periodically to the integrated care network on behalf of each recipient enrolled under
a contract for the provision of medical services pursuant to this article. (2) COLLABORATOR.
A private health carrier, third party purchaser, provider, health care center, health care
facility, state and local governmental entity, or other public payers, corporations, individuals,
and consumers who are expecting to collectively cooperate, negotiate, or contract with another
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
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22-6-151
Section 22-6-151 Regional care organizations; governing board of directors; citizen's
advisory committee; solvency and financial requirements; reporting; provider standards committee.
(a) A regional care organization shall serve only Medicaid beneficiaries in providing medical
care and services. (b) Notwithstanding any other provision of law, a regional care organization
shall not be deemed an insurance company under state law. (c)(1) A regional care organization
and an organization with probationary regional care organization certification shall have
a governing board of directors composed of the following members: a. Twelve members shall
be persons representing risk-bearing participants in the regional care organization or organization
with probationary certification. A participant bears risk by contributing cash, capital, or
other assets to the regional care organization. A participant also bears risk by contracting
with the regional care organization to treat Medicaid beneficiaries...
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22-6-154
Section 22-6-154 Quality assurance committee; collection and publication of information.
(a) The Medicaid Agency shall create a quality assurance committee appointed by the Medicaid
Commissioner. The members of the committee shall serve two-year terms. At least 60 percent
of the members shall be physicians who provide care to Medicaid beneficiaries served by a
regional care organization. In making appointments to the committee, the Medicaid Commissioner
shall seek input from the appropriate professional associations. (b) The committee shall identify
objective outcome and quality measures, including measures of outcome and quality for ambulatory
care, inpatient care, chemical dependency and mental health treatment, oral health care, and
all other health services provided by coordinated care organizations. Quality measures adopted
by the committee shall be consistent with existing state and national quality measures. The
Medicaid Commissioner shall incorporate these measures into...
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22-6-163
Section 22-6-163 Legislative findings; rules; collaboration; approval of agreements
and contracts; state action immunity; confidentiality of records; additional duties. (a) The
Legislature declares that collaboration among public payers, private health carriers, third
party purchasers, and providers to identify appropriate service delivery systems and reimbursement
methods in order to align incentives in support of integrated and coordinated health care
delivery is in the best interest of the public. Collaboration pursuant to this article is
to provide quality health care at the lowest possible cost to Alabama citizens who are Medicaid
eligible. The Legislature, therefore, declares that this health care delivery system affirmatively
contemplates the foreseeable displacement of competition, such that any anti-competitive effect
may be attributed to the state's policy to displace competition in the delivery of a coordinated
system of health care for the public benefit. In furtherance 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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41-19-7
Section 41-19-7 Formulation and presentation to Legislature and agencies/departments
of Governor's proposed program and financial plan. (a) The Governor shall formulate the program
and financial plan to be recommended to the Legislature after considering each state agency's
proposed program and financial plan. The Governor's plan shall include his recommended goals
and policies, recommended plans to implement the goals and policies, recommended budget for
the succeeding fiscal year and recommended revenue measures to balance the budget. (b) The
proposed comprehensive program and financial plan shall be presented by the Governor in a
message to a joint session of the Legislature on or before the fifth legislative day of each
regular session of the Legislature. The message shall be accompanied by an explanatory report
which summarizes recommended goals, plans and appropriations. The explanatory report shall
be furnished each member of the Legislature and each state agency/department on...
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22-6-120
Section 22-6-120 Legislative findings. The Legislature finds the following: (1) The
availability of appropriate pharmaceutical benefits to every Alabama citizen is a critical
component to the overall health of its population. (2) Alabama should strive to provide appropriate,
safe, effective, and cost-efficient pharmaceutical care to those who depend on health benefits
through state funded programs. (3) The Alabama Medicaid Agency should endeavor to manage the
Medicaid Pharmacy Program utilizing clinical management tools in a manner to foster optimal
health outcomes at reasonable costs. (4) State Medicaid programs and private insurance plans
across the country utilize preferred drug lists as an effective way to foster and encourage
clinically appropriate and safe use of pharmaceuticals in a cost-effective manner. (5) Based
on the proven effectiveness of preferred drug programs to foster appropriate use of drugs,
it is in the best interests of Alabama and its citizens for the Alabama...
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16-47-77
Section 16-47-77 Board of Dental Scholarship Awards - Powers and duties. The Board of
Dental Scholarship awards shall have power and authority to make reasonable rules and regulations
not inconsistent with the laws of this state as may be necessary for the regulation of its
proceedings and for the discharge of the duties imposed on it. The board shall receive and
review all applications for scholarship loans and awards, and for loans awarded under the
Alabama Dental Service Program, shall make a careful and thorough investigation of the ability,
character, and qualifications of each applicant, and shall be responsible for the further
administration of the scholarship loans and awards and of the program, subject to the provisions
of this article. Also, the board annually shall report on the condition and accomplishments
of the program to the Governor, Lieutenant Governor, Speaker of the House, President Pro-Tem
of the Senate and the chairs of the House and Senate health committees. The...
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22-18-64
Section 22-18-64 Annual report; joint agreement; disposition of funds. (a) The ACCS
shall annually report on the condition and accomplishments of the tuition reimbursement program
to the Governor, Speaker of the House of Representatives, President Pro Tempore of the Senate,
the Chair of the House Ways and Means Education Committee, the Chair of the Senate Finance
and Taxation Education Committee, and the Deputy Director of the Legislative Services Agency,
Fiscal Division. The report shall include the number of students participating in the program
and the amount of tuition reimbursed for the reporting year. The member institutions of the
ACCS, the Fire College, and the University of South Alabama shall provide this information
to ACCS for inclusion in the annual report. The report shall be submitted by the fifth legislative
day of each regular session of the Legislature. (b) The ACCS, the Fire College, and the University
of South Alabama shall enter into a joint agreement to implement...
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23-7-15
Section 23-7-15 Annual report; audit. Following the close of each state fiscal year,
the bank shall submit an annual report of its activities for the preceding year to the Governor
and to the Legislature. The bank also shall submit an annual report to the appropriate federal
agency in accordance with requirements of any federal program. An independent certified public
accountant or the Department of Examiners of Public Accounts shall perform an audit of the
books and accounts of the bank at least once in each state fiscal year. (Act 2015-50, p. 173,
§15; Act 2018-290, §1.)...
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