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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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
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22-11A-51
Section 22-11A-51 Informed consent required for HIV testing. (a) Before any HIV test is performed,
the health care provider or testing facility shall obtain from the person a voluntary informed
consent to administer the test. (b) A general consent form should be signed for medical or
surgical treatment which specifies the testing for HIV infection by any antibody tests or
other means and may be considered as meeting the standard of informed consent in subsection
(a). (Acts 1991, No. 91-120, p. 140, §2(a), (b).)...
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26-23E-5
Section 26-23E-5 Nursing care. At all times during procedures in an abortion or reproductive
health center, nursing care shall be under the supervision of a registered professional nurse
currently licensed in Alabama. At least one registered professional nurse shall be on duty
to provide or supervise all nursing care of patients in preparation for and during the abortion
procedure, during the recovery period, and through the initial discharge by the attending
physician. Other nursing service personnel shall remain on duty as required to meet the needs
of each patient. (Act 2013-79, p. 165, §5.)...
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27-19A-7
Section 27-19A-7 Contracting directly with patient; distribution of information about policy
or plan; payment and reimbursement procedures. The provisions of this chapter do not prohibit
the following conduct and shall be construed to provide that: (1) A dentist may contract directly
with a patient for the furnishing of dental care services to said patient as may be otherwise
authorized by law; (2) Any person providing a health insurance policy or employee benefit
plan, or an employer, or an employee organization may: a. Make available to its insureds,
beneficiaries, participants, employees, or members information relating to dental care services
by the distribution of factually accurate information regarding dental care services, rates,
fees, location, and hours of service, provided such distribution is made upon the request
of any dentist licensed by this state; or b. Establish an administrative mechanism which facilitates
payment for dental care services by insureds, beneficiaries,...
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27-49-2
Section 27-49-2 Legislative findings. The Legislature finds that the specialty of obstetrics
and gynecology is devoted to primary and preventive health care of women throughout their
lifetime. Significant numbers of women view their obstetrician and gynecologist as their primary
or only physician. For many women, an obstetrician or gynecologist is often the only physician
they see regularly during their reproductive years. A general medical examination was the
second most frequently cited purpose for patient visits to obstetricians and gynecologists
in 1989 and 1990. Obstetricians and gynecologists refer their patients less frequently than
other primary care physicians, thus avoiding costly and time consuming referrals to specialists.
Accordingly, it is the intent of the Legislature that women enrolled or covered by health
benefit plans have direct access to the services of a participating obstetrician or a participating
gynecologist. (Acts 1996, No. 96-671, p. 1135, §2.)...
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35-11-372
Section 35-11-372 Release or satisfaction. (a) During the period of time allowed by Section
35-11-371 for perfecting the lien, including that period of time during which the hospital
is awaiting payment or denial by the patient's health care payor, and also after the lien
provided for by this division has been perfected by any lienholder entitled thereto, no release
or satisfaction of any action, claim, counterclaim, demand, judgment, settlement, or settlement
agreement, or of any of them, shall be valid or effectual as against the lien unless the lienholder
shall join therein or execute a release of the lien. (b) Any acceptance of a release or satisfaction
of any action, claim, counterclaim, demand, or judgment and any settlement of any of the foregoing
in the absence of a release or satisfaction of the lien referred to in this division shall
prima facie constitute an impairment of the lien, and the lienholder shall be entitled to
a civil action for damages on account of the...
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21-8-5
Section 21-8-5 Duties of Children's Rehabilitation Service. It is the duty of the Children's
Rehabilitation Service, with the advice of the committee, to: (1) Develop standards for determining
eligibility for care and treatment under this chapter. (2) Assist in the development and expansion
of programs for the care and treatment of persons suffering from hemophilia and related diseases,
including home care and medical and dental procedures designed to provide maximum control
over bleeding. (3) Extend financial assistance to persons suffering from hemophilia for the
purpose of obtaining blood, blood derivatives and concentrates, and other efficacious agents
for use in hospital, medical and dental facilities, and in the home. (4) Institute and carry
on community educational programs for the detection of hemophilia and for the counseling of
individuals and families. (5) Conduct educational programs for physicians, dentists, hospitals,
regional health departments, and the public concerning...
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22-9A-14
Section 22-9A-14 Death registration. (a) A certificate of death for each death which occurs
in this state shall be filed with the Office of Vital Statistics, or as otherwise directed
by the State Registrar, within five days of the death and shall be registered if it has been
completed and filed in accordance with this section. (1) If the place of death is not known,
but the dead body is found in this state, the certificate of death shall be completed and
filed in accordance with this section. The county where the body is found shall be shown on
the certificate as the county of death. If the date of death is unknown, the date the dead
body was found shall be shown on the certificate as the date of death. (2) When death occurs
in a moving conveyance in the United States and the body is first removed from the conveyance
in this state, the death shall be registered in this state and the county where it is first
removed shall be considered as the county of death. When a death occurs on a...
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25-5-312
Section 25-5-312 Powers and duties of the board. The board shall exercise general supervision
in all matters related to the provision of medical services provided by physicians, as defined
in Section 25-5-310, rendered to workers under this article. The duties of the board shall
include, but are not limited to, the following: (1) Study, develop, and implement any necessary
and reasonable guidelines for medical services and physician care provided by physicians.
In addition, with respect to services provided by physicians, the board shall study, develop,
and recommend to the secretary uniform medical criteria and policies for the conduct of utilization
review, bill screenings, and medical necessity determinations for use by insurance carriers,
self-insurers, and claims administrators. (2) Study, design, and implement standardized uniform
claims processing forms and forms for the reporting of medical information to employers and
insurance companies by physicians. (3) Address and give...
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