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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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-151.htm - 9K - Match Info - Similar pages
27-48-2
Section 27-48-2 Coverage for medically necessary inpatient care for mother and newly born child.
(a) Every health benefit plan that provides maternity coverage shall provide coverage for
the following: (1) All medically necessary inpatient care for a mother and her newly born
child as determined by the woman's prenatal care physician, obstetrician-gynecologist, certified
nurse midwife, or the child's attending pediatrician and when consistent with the most recent
version of the "Guidelines for Perinatal Care" prepared by the American Academy
of Pediatrics and the American College of Obstetricians and Gynecologists, including the administration
of medical tests recommended by the American Academy of Pediatrics or the American College
of Obstetricians and Gynecologists or both on the admission and discharge of a mother and
the newborn child to determine whether additional medical care is needed for the mother or
newborn child or both. Included in medically necessary inpatient care is the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-48-2.htm - 2K - Match Info - Similar pages
34-21-93.1
Section 34-21-93.1 Signature authority for health care forms, etc. (a) When any law or rule
requires a signature, certification, stamp, verification, affidavit, or endorsement by a physician,
the document shall be deemed to authorize a signature, certification, stamp, verification,
affidavit, or endorsement by a certified registered nurse practitioner or certified nurse
midwife for the items listed in this section. The authority in this section for a certified
registered nurse practitioner and a certified nurse midwife shall be subject to an active
collaboration agreement. This section applies to all of the following: (1) Certification of
disability for patients to receive special access parking or disability access parking tags
or placards. (2) A signature required for any of the following: a. The following documents
that require a complete history and physical examination consistent with the examining provider's
scope of practice and certification: 1. Physicals for bus drivers in...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-21-93.1.htm - 3K - Match Info - Similar pages
22-11A-23
Section 22-11A-23 Any person believed exposed to diseases to be tested; any person believed
afflicted shall seek and accept treatment. Any person who the state or county health officer
has reason to believe has been exposed to any of the diseases designated under this article
shall be tested. Any person who the state or county health officer has reason to believe is
afflicted with any of the diseases designated under this article shall seek and accept treatment
at the direction of the health officer or a physician licensed to practice medicine in Alabama.
(Acts 1987, No. 87-574, p. 904, ยง23.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-23.htm - 907 bytes - Match Info - Similar pages
22-11C-12
Section 22-11C-12 Liability under chapter. (a) No person shall have any claim or cause of action
against the State of Alabama, or its political subdivisions, or any individual arising out
of any acts or omissions which occurred under the provisions of this chapter, if the state,
political subdivisions, or individual is in compliance with this chapter. (b) No person shall
have any claim or cause of action against any person, or the employer or employee of any person,
who participates in good faith in the reporting or receiving, or both, of head or spinal cord
registry data or data for head or spinal cord injury morbidity or mortality studies in accordance
with this chapter. (c) No license of a health care facility or health care provider may be
denied, suspended, or revoked for the good faith disclosure of confidential or privileged
information in the reporting of head or spinal cord injury registry data or data for head
or spinal cord injury morbidity or mortality studies in accordance...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11C-12.htm - 1K - Match Info - Similar pages
22-11C-7
Section 22-11C-7 Confidentiality; disclosure of information. (a) All information reported pursuant
to this chapter shall be confidential and privileged. (b) The State Health Officer shall take
strict measures to ensure that all identifying information is kept confidential, except as
otherwise provided in this chapter. (c) Head and spinal cord injury information may be provided
to researchers or research institutions, or both, in connection with head and/or spinal cord
injury morbidity and mortality studies upon appropriate review by the State Health Officer.
All identifying information regarding an individual patient, health care provider, or health
care facility contained in records of interviews, written reports, and statements procured
by the State Health Officer or by any other person, agency, or organization acting jointly
with the State Health Officer in connection with these studies shall be confidential and privileged
and shall be used solely for the purposes of the study....
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11C-7.htm - 1K - Match Info - Similar pages
22-13-35
Section 22-13-35 Liability under article. (a) No person shall have any claim or cause of action
against the State of Alabama, or its political subdivisions, or any individual arising out
of any acts or omissions which occurred under the provisions of this article, if the state,
political subdivisions, or individual is in compliance with this article. (b) No person shall
have any claim or cause of action against any person, or the employer or employee of any person,
who participates in good faith in the reporting or receiving, or both, of cancer registry
data or data for cancer or benign brain-related tumor morbidity or mortality studies in accordance
with this article. (c) No license of a health care facility or health care provider may be
denied, suspended, or revoked for the good faith disclosure of confidential or privileged
information in the reporting of cancer registry data or data for cancer or benign brain-related
tumor morbidity or mortality studies in accordance with this...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-13-35.htm - 1K - Match Info - Similar pages
27-1-21
Section 27-1-21 Uniformity of limits applied to fulfillment of certain drug prescriptions.
(a) For the purposes of this section, the following words shall have the following meanings:
(1) ENROLLEE. A person enrolled in a health benefit plan. (2) HEALTH BENEFIT PLAN. Any individual
or group plan, policy, or contract for health care services issued, delivered, issued for
delivery, renewed in this state by a health care insurer, health maintenance organization,
accident and sickness insurer, fraternal benefit society, nonprofit hospital service corporation,
nonprofit medical service corporation, health care service plan, or any other person, firm,
corporation, joint venture, or other similar business entity that pays for, purchases, or
furnishes health care services to patients, insureds, or beneficiaries in this state. The
term includes, but is not limited to, entities created pursuant to Article 6 of Chapter 4
of Title 10. The term shall not include any collective bargaining agreement...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-21.htm - 3K - Match Info - Similar pages
27-3A-3
Section 27-3A-3 Definitions. As used in this chapter, the following words and phrases shall
have the following meanings: (1) DEPARTMENT. The Alabama Department of Public Health. (2)
ENROLLEE. An individual who has contracted for or who participates in coverage under an insurance
policy, a health maintenance organization contract, a health service corporation contract,
an employee welfare benefit plan, a hospital or medical services plan, or any other benefit
program providing payment, reimbursement, or indemnification for health care costs for the
individual or the eligible dependents of the individual. (3) PROVIDER. A health care provider
duly licensed or certified by the State of Alabama. (4) UTILIZATION REVIEW. A system for prospective
and concurrent review of the necessity and appropriateness in the allocation of health care
resources and services given or proposed to be given to an individual within this state. The
term does not include elective requests for clarification of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-3A-3.htm - 3K - Match Info - Similar pages
27-49-4
Section 27-49-4 Obstetricians and gynecologists as primary care physicians; direct access to
obstetrician and gynecologist not used as primary care physicians. (a) Each health benefit
plan which is issued, delivered, issued for delivery, or renewed in this state on or after
October 1, 1996, shall allow obstetricians and gynecologists as primary care physicians. This
subsection shall not be construed to require an individual obstetrician or gynecologist to
accept primary care physician status if the obstetrician or gynecologist does not wish to
be designated as a primary care physician, nor to interfere with the credentialing and other
selection criteria usually applied by a health benefit plan with respect to other physicians
within its network. (b) For women not using an obstetrician or gynecologist as their primary
care physician, no health benefit plan which is issued, delivered, issued for delivery, or
renewed in this state on or after October 1, 1996, shall require as a condition...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-49-4.htm - 2K - Match Info - Similar pages
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