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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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-95.htm - 1K - Match Info - Similar pages
22-6-97
Section 22-6-97 Transfer of funds - Return of noncomplying funds. In the event a hospital or
hospital system transfers funds to the Medicaid Agency and certifies that the funds transferred
are in compliance with Section 22-6-93, but subsequently it is determined that the transfer
was not in compliance, the Medicaid Agency shall return the transferred funds to the transferor
hospital or hospital system. The transferor hospital or hospital system shall transfer to
the Medicaid Agency funds that comply with the requirements of this article within 60 days
of that determination, along with a certification that this transfer complies with the requirements
of this article, to the extent that revenues from sources other than Medicaid are available
to effect a transfer that complies with this article. (Act 2002-410, p. 1031, §8.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-97.htm - 1K - Match Info - Similar pages
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
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-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
22-6-93
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.)...
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22-6-94
Section 22-6-94 Transfer of funds - Use by Medicaid Agency. All funds transferred by a hospital
or a hospital system from any payor source directly or indirectly to the Medicaid Agency shall
be used by the Medicaid Agency to defer costs incurred in connection with either the provision
of healthcare services, as provided in Section 22-6-92, or Medicaid-covered services to Medicaid-eligible
beneficiaries. (Act 2002-410, p. 1031, §5.)...
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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
13A-9-150
Section 13A-9-150 Public assistance fraud; penalties. (a) For the purposes of this section,
public assistance means money or property provided directly or indirectly to eligible persons
through programs of the federal government, the state, or any political subdivision thereof,
including any program administered by a public housing authority. (b) It shall be unlawful
for an individual or business entity to knowingly do any of the following: (1) Fail, by false
statement, misrepresentation, impersonation, or other fraudulent means, to disclose a material
fact used in making a determination as to the qualification of the person to receive public
assistance. (2) Fail to disclose a change in circumstances in order to obtain or continue
to receive any public assistance to which he or she is not entitled or in an amount larger
than that to which he or she is entitled. (3) Aid and abet another person in the commission
of the prohibitions enumerated in subdivisions (1) and (2). (4) Use,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/13A-9-150.htm - 12K - 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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