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22-6-92
Section 22-6-92 Use of funds; annual certification. Any hospital or hospital system located
in the State of Alabama that receives funds from the Medicaid Agency or from a partnership
hospital program shall utilize all revenues received from either source only in connection
with the provision of healthcare services. Within 30 days after the close of a hospital's
or a hospital system's fiscal year, the hospital or hospital system shall certify in writing
to the Medicaid Agency that it has complied with the requirements of this section during the
past fiscal year. The certification shall be executed by the hospital's or hospital system's
administrator or chief financial officer and may be made electronically. (Act 2002-410, p.
1031, §3.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-92.htm - 1K - Match Info - Similar pages
40-26B-70
Section 40-26B-70 Definitions. For purposes of this article, the following terms shall have
the following meanings: (1) ACCESS PAYMENT. A payment by the Medicaid program to an eligible
hospital for inpatient or outpatient hospital care, or both, provided to a Medicaid recipient.
(2) ALL PATIENT REFINED DIAGNOSIS-RELATED GROUP (APR-DRG). A statistical system of classifying
any non-Medicare inpatient stay into groups for the purposes of payment. (3) 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. (4) CERTIFIED PUBLIC EXPENDITURE (CPE). A certification
in writing of the cost of providing medical care to Medicaid beneficiaries by publicly owned
hospitals and hospitals owned by a state agency or a state university plus the amount of uncompensated
care provided by publicly owned hospitals and hospitals...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-70.htm - 5K - Match Info - Similar pages
22-6-95
Section 22-6-95 Transfer of funds - Annual certification. At the time a hospital or hospital
system transfers funds to the Medicaid Agency, or no less frequently than within 30 days after
the close of the transferor hospital's or hospital system's fiscal year, the hospital or hospital
system shall certify in writing to the Medicaid Agency that the funds transferred met the
requirements of Section 22-6-93. In the case of an annual certification, the transferor hospital
or hospital system shall certify that all the funds transferred during the hospital's or hospital
system's past fiscal year met the requirements of Section 22-6-93. The certifications pursuant
to this section shall be executed by the hospital's or hospital system's administrator or
chief financial officer and may be made electronically. The Medicaid Agency shall determine
that it has not sought federal matching funds on funds transferred to it by a hospital or
hospital system that have not been certified by the transferor...
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40-26B-82
Section 40-26B-82 Effectiveness and cessation. (a) The assessment imposed under this article
shall not take effect or shall cease to be imposed and any moneys remaining in the Hospital
Assessment Account in the Alabama Medicaid Program Trust Fund shall be refunded to hospitals
in proportion to the amounts paid by them if any of the following occur: (1) Expenditures
for hospital inpatient and outpatient services paid for by the Alabama Medicaid Program for
fiscal years 2020, 2021, and 2022, are less than the amount paid during fiscal year 2017.
Reimbursement rates under this article for fiscal years 2020, 2021, and 2022, are less than
the rates approved by CMS in Sections 40-26B-79 and 40-26B-80. (2) The Medicaid Agency makes
changes in its rules that reduce hospital inpatient payment rates, outpatient payment rates,
or adjustment payments, including any cost settlement protocol, that were in effect on September
30, 2019. (3) The inpatient or outpatient hospital access payments required...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-82.htm - 5K - Match Info - Similar pages
22-6-93
Section 22-6-93 Transfer of funds - Generally. To the extent any hospital or hospital system
transfers, directly or indirectly, funds to the Medicaid Agency, transfers by the hospital
or hospital system in any fiscal period which may be determined on an annual or other reasonable
periodic basis may not exceed the amount of revenues received by the hospital or hospital
system from payors other than the Medicaid Agency or a partnership hospital program during
that period. (Act 2002-410, p. 1031, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-93.htm - 810 bytes - Match Info - Similar pages
22-6-96
Section 22-6-96 Transfer of funds - Return of uncertified funds. In the event a hospital or
hospital system transfers funds to the Medicaid Agency and fails to certify that the funds
transferred are in compliance with the requirements of Section 22-6-93, the Medicaid Agency
shall return any portion of the funds not certified to the transferor hospital or hospital
system no later than 90 days after the close of the transferor hospital's or hospital system's
fiscal year. (Act 2002-410, p. 1031, §7.)...
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40-26B-71
Section 40-26B-71 Assessment. (a) For state fiscal years 2020, 2021, and 2022, an assessment
is imposed on each privately operated hospital in the amount of 6.00 percent of net patient
revenue in fiscal year 2017, which shall be reviewed and updated annually, subject to limitations
in this article on the use of funds in the Hospital Assessment Account. The assessment is
a cost of doing business as a privately operated hospital in the State of Alabama. Annually,
the Medicaid Agency shall make a determination of whether changes in federal law or regulation
have adversely affected hospital Medicaid reimbursement during the most recently completed
fiscal year, or a reduction in payment rates has occurred. If the agency determines that adverse
impact to hospital Medicaid reimbursement has occurred, or will occur, the agency shall report
its findings to the Chair of the House Ways and Means General Fund Committee who shall propose
an amendment to this article during any legislative session...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-71.htm - 3K - Match Info - Similar pages
36-27-21.5
Section 36-27-21.5 Cost-of-living increase for persons who retired before October 1, 1984;
retirees under Judicial Retirement Fund ineligible; funding of increase; eligibility of persons
retired from unit participating under Section 36-27-6; persons whose Medicaid benefits would
be impaired are ineligible; construction with other laws. (a) There is hereby provided contingent
upon the funding provisions of subsection (c) of this section, commencing October 1, 1985,
to each person whose effective date of retirement for purposes of receiving benefits from
the Employees' Retirement System was prior to October 1, 1984, a cost-of-living increase of
$2.00 per month for each year of creditable service attained by said member; provided, however,
that any person retired under the provisions of Section 36-27-7, or 36-27-7.1, shall receive
an increase of $1.00 per month for each year of creditable service attained by said member.
(b) Any person retired under the Judicial Retirement Fund of Alabama...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-27-21.5.htm - 6K - Match Info - Similar pages
40-26B-73
Section 40-26B-73 Hospital Assessment Account. (a)(1) There is created within the Health Care
Trust Fund referenced in Article 3 of Chapter 6 of Title 22 of a designated account known
as the Hospital Assessment Account. (2) The hospital assessments imposed under this article
shall be deposited into the Hospital Assessment Account. (3) If the Medicaid Agency begins
making payments under Article 9 of Chapter 6 of Title 22, while Act 2017-382 is in force,
the hospital intergovernmental transfers imposed under this article shall be deposited into
the Hospital Assessment Account. (b) Moneys in the Hospital Assessment Account shall consist
of: (1) All moneys collected or received by the department from privately operated hospital
assessments imposed under this article; (2) Any interest or penalties levied in conjunction
with the administration of this article; and (3) Any appropriations, transfers, donations,
gifts, or moneys from other sources, as applicable; and (4) If the Medicaid Agency...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-73.htm - 3K - Match Info - Similar pages
22-21-271
Section 22-21-271 Certificates of need - Application fees; appropriation of funds; disposition
of fees. (a) Each application for a certificate of need shall be accompanied by a fee of one
percent of the estimated cost of the proposed cost of the new Institutional Health Service,
or a maximum of twelve thousand dollars ($12,000) (indexed) per application. Provided, that
the application fee shall be three-fourths of one percent of the estimated cost of the proposed
new Institutional Health Service, or a maximum of eight thousand dollars ($8,000) if the applicant
has had an average daily census comprised of 50 percent or more Medicaid patients within the
last year prior to the filing of the application and a maximum of six thousand dollars ($6,000)
if a rural hospital applicant has had an average daily census comprised of 30 percent or more
Medicaid/Medicare patients within the last year prior to the filing of the application. The
minimum fee shall be set by the SHPDA. Fees shall be used...
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