|
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.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-228.htm - 1017 bytes - Match Info - Similar pages
22-21-8
Section 22-21-8 Confidentiality of accreditation, quality assurance credentialling materials,
etc. (a) Accreditation, quality assurance and similar materials as used in this section shall
include written reports, records, correspondence, and materials concerning the accreditation
or quality assurance or similar function of any hospital, clinic, or medical staff. The confidentiality
established by this section shall apply to materials prepared by an employee, advisor, or
consultant of a hospital, clinic, or medical staff and to materials prepared by an employee,
advisor or consultant of an accrediting, quality assurance or similar agency or similar body
and to any individual who is an employee, advisor or consultant of a hospital, clinic, medical
staff or accrediting, quality assurance or similar agency or body. (b) All accreditation,
quality assurance credentialling and similar materials shall be held in confidence and shall
not be subject to discovery or introduction in evidence in...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-8.htm - 2K - Match Info - Similar pages
22-6-121
Section 22-6-121 Medicaid Pharmacy and Therapeutics Committee - Composition; meetings. (a)
The Alabama Medicaid Agency shall utilize a Medicaid Pharmacy and Therapeutics Committee within
the agency for the purpose of advising and assisting Medicaid in the development of a preferred
drug plan pursuant to 42 U.S.C. §1396r-8. (b) The Medicaid Pharmacy and Therapeutics Committee
shall be comprised and consist of three clinical pharmacists licensed to practice in the State
of Alabama and at least five physicians licensed to practice medicine in the State of Alabama.
Physician members will be appointed by the Medicaid Commissioner from a list of at least two
nominees for each position submitted by the Medical Association of the State of Alabama. Clinical
pharmacist members will be nominated by the Alabama Pharmacy Association and appointed by
the Medicaid Commissioner. Members of the Medicaid Pharmacy and Therapeutics Committee should
be enrolled Medicaid providers and have experience...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-121.htm - 2K - Match Info - Similar pages
22-38-6
Section 22-38-6 Priorities for all nonpoint source pollution control; administration of grants
in accordance with priorities; committee to provide information to department as to progress
in water quality. The overall state plan for nonpoint source pollution control shall establish
priorities for all nonpoint source pollution control. The committee shall administer agricultural,
nonpoint source pollution control cost-share grants to landusers in accordance with the priorities
encompassed in the agricultural component of the plan developed for the state by the department
in cooperation with the committee and approved by the Environmental Protection Agency. All
information requested of the committee shall be provided to the department for use in reporting
to the Environmental Protection Agency on the state's progress in water quality as it relates
to agricultural nonpoint source pollution. (Acts 1988, No. 88-602, p. 939, §6.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-38-6.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
22-6-123
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-123.htm - 2K - Match Info - Similar pages
22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) 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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-150.htm - 2K - Match Info - Similar pages
8-35-2
Section 8-35-2 Security freeze on credit report. (a) A consumer may place a security freeze
on the consumer's credit report by making a request in writing by certified mail to a consumer
credit reporting agency. No later than August 31, 2012, a consumer credit reporting agency
shall make available to consumers an Internet based method of requesting a security freeze
and a toll-free telephone number for consumers to use to place a security freeze, temporarily
lift a security freeze, or completely remove a security freeze. A security freeze shall prohibit,
subject to exceptions in subsection (m), the consumer credit reporting agency from releasing
the consumer's credit report or credit score without the prior express authorization of the
consumer as provided in subsection (d) or (e). Nothing in this subsection shall prevent a
consumer credit reporting agency from advising a third party that a security freeze is in
effect with respect to the consumer's credit report. (b) A consumer credit...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/8-35-2.htm - 12K - Match Info - Similar pages
6-5-333
Section 6-5-333 Dentists, chiropractors, and physicians serving on utilization and quality
control committees, peer review committees, or professional standards review committees; consultants
thereto and employees thereof; dental, chiropractic and medical societies and associations;
appeal to Alabama Dental Association; confidentiality. (a) Any dentist, chiropractor, or physician
licensed to practice medicine in Alabama who serves on a peer review or a utilization and
quality control committee or professional standards review committee or a similar committee
or a committee of similar purpose or any dentist, physician, chiropractor, or individual who
serves as a consultant or employee to one of said committees established either by a dental
society or dental association or by a chiropractic society or chiropractic association or
by a state medical association or county medical society to review any aspect of dental care,
chiropractic care, or medical care at the request of a government...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-5-333.htm - 4K - Match Info - Similar pages
29-5A-46
Section 29-5A-46 Tax expenditure report. (a) The Fiscal Division shall prepare and submit an
annual report to the Legislature which lists all state tax expenditures and the estimated
cost associated with each of the tax expenditures. For purposes of this section, tax expenditures
means those state revenue losses attributable to the provisions of the constitution, state
tax statutes, or rules promulgated pursuant to the statutes, which allow a special exclusion,
exemption, or deduction, or which provide a special credit or preferential tax rate. The report
shall be organized according to the funds into which the tax expenditures would be dedicated
but for the exemptions and rate differentials. The report shall be submitted at the same time
that the Governor is required to submit his or her budget proposal to the Legislature. (b)
The annual tax expenditure report shall include the following: (1) Each tax exemption and
its constitutional and/or statutory citation. (2) An estimate of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/29-5A-46.htm - 2K - Match Info - Similar pages
|