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16-6D-4
Section 16-6D-4 Definitions. For the purposes of this chapter, the following terms shall have
the following meanings: (1) ACADEMIC YEAR. The 12-month period beginning on July 1 and ending
on the following June 30. (2) DEPARTMENT OF REVENUE. The Alabama Department of Revenue. (3)
EDUCATIONAL SCHOLARSHIP. A grant made by a scholarship granting organization to an eligible
student to cover all or part of the tuition and mandatory fees for one academic year charged
by a qualifying school to the eligible student receiving the scholarship; provided, however,
that an educational scholarship shall not exceed six thousand dollars ($6,000) for an elementary
school student, eight thousand dollars ($8,000) for a middle school student, or ten thousand
dollars ($10,000) for a high school student per academic year. The term does not include a
lump sum, block grant, or similar payment by a scholarship granting organization to a qualifying
school that assigns the responsibility in whole or in part for...
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38-15-4
Section 38-15-4 Registration of certain youth residential institutions or organizations; staff
training plans; rights of children; licensing and inspection of food preparation areas; access
by law enforcement agencies. (a) Commencing on January 1, 2018, the department shall register
any religious, faith-based, or church nonprofit, other nonprofit, or for profit affiliated
youth residential facility, youth social rehabilitation facility, community treatment facility
for youths, youth transitional care facility, long term youth residential facility, private
alternative boarding school, private alternative outdoor program, and any organization entrusted
with the residential care of children in any organizational form or combination defined by
this section, whenever children are housed at the facility or location of the program for
a period of more than 24 hours. At a minimum, registered youth residential institution or
organization under this section shall do all of the following: (1) Be...
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16-6G-5
Section 16-6G-5 Reading and intervention programs; individual reading improvement plan; summer
reading camps; Alabama Summer Achievement Program; retention of students; reporting requirements.
(a) To ensure that public school students are able to read at or above grade level by the
end of third grade, each local education agency shall offer a comprehensive core reading program
to all students based on the science of reading which develops foundational reading skills.
In addition, no school district may use any curriculum for public K-3 students that does not
have instructional time included. (b) Based on the results of the reading assessment in Section
16-6G-3, each K-3 student who exhibits a reading deficiency, or the characteristics of dyslexia,
shall be provided an appropriate reading intervention program to address his or her specific
deficiencies. Additionally, students shall be evaluated after every grading period and, if
a student is determined to have a reading deficiency, the...
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22-6-20
Section 22-6-20 Legislative intent. The Legislature recognizes the increasing population of
our senior citizens and the importance of ensuring that each receives quality health care.
The Medicaid Agency of the State of Alabama, hereinafter referred to as "Medicaid",
shall have the power to enforce specific remedies to ensure compliance with OBRA. (Acts 1989,
No. 89-641, p. 1268, §1.)...
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22-6-158
Section 22-6-158 Contracts with service providers. A regional care organization shall contract
with any willing hospital, doctor, or other provider to provide services in a Medicaid region
if the provider is willing to accept the payments and terms offered comparable providers.
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 2013-261, p. 686, §9.)...
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22-6-228
Section 22-6-228 Risk contracts. A risk contract between the Medicaid Agency and an integrated
care network shall be for two years, with the option for Medicaid to renew the contract for
not more than three additional one-year periods. The Medicaid Agency shall obtain provider
input and an independent evaluation of the cost savings, patient outcomes, and quality of
care provided by an integrated care network, and obtain the results of an integrated care
network's evaluation in time to use the findings to decide whether to enter into another multi-year
contract with the integrated care networks or change the Medicaid care delivery system associated
with an integrated care network. (Act 2015-322, §10.)...
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22-11B-3
Section 22-11B-3 Medicaid recipients deemed to have given consent to information release with
receipt of services. Medicaid recipients shall be deemed to have given their consent to the
release by the State Medicaid Agency of information to the State Board of Health or any other
health care provider by virtue of their receipt of Medicaid covered services. (Acts 1995,
No. 95-530, p. 1075, §3.)...
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22-6-223
Section 22-6-223 Solvency and financial requirements. (a) An integrated care network shall
meet minimum solvency and financial requirements as provided by the Medicaid Agency. The Medicaid
Agency shall require the integrated care network, as a condition of certification or continued
certification, to maintain minimum solvency and financial reserves. The Medicaid Agency shall
hereafter promulgate rules setting forth requirements for minimum solvency, financial reserves,
and other financial requirements of an integrated care network based on the number of integrated
care networks that may be certified and based on actuarial soundness as determined by the
Medicaid Agency. The Medicaid Agency shall allow for the requirements to be met through the
submission of an irrevocable letter of credit in an amount equal to the financial reserves
that would otherwise be required of the integrated care network, to guarantee the performance
of the provisions of the risk contract. If an irrevocable...
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22-6-123
Section 22-6-123 Considerations for inclusions on preferred drug list; review; adoption of
list. (a) Drugs will be considered for the Medicaid preferred drug list based on clinical
efficacy, side effect profiles, appropriate usage, and cost effectiveness. (b) The Medicaid
Pharmacy and Therapeutics Committee shall perform a thorough review of relevant clinical and
medical considerations, including, but not limited to: Medicaid Drug Utilization Review (DUR)
data; Surveillance Utilization Review (SUR) data; potential abuse, misuse, or inappropriate
use in prescribing and/or dispensing patterns; inconsistency with FDA approved labeling, inconsistency
with uses recognized in the American Hospital Formulary Service Drug Information, and the
American Medical Association Drug Evaluations, or the U.S. Pharmacopoeia Dispensing Information.
(c) The Medicaid Pharmacy and Therapeutics Committee shall recommend and the Medicaid Agency
shall adopt an initial Medicaid preferred drug list not later...
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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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