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36-35-3
Section 36-35-3 Alabama Prescription Cost Initiative Board. (a) The Alabama Prescription Cost
Initiative Board is created. (b) The board shall consist of the following voting members:
The executive director or chief staff person of the State Employees Insurance Board (SEIB)
and the Public Education Employees Health Insurance Plan (PEEHIP), the Chair of the Board
of Directors of SEIB, the Chair of the Board of Directors of PEEHIP, and the State Health
Officer. The Director of the Medicaid Agency may serve in a nonvoting capacity. (c) The board
shall promulgate policies to implement this chapter and may hire an executive director and
necessary staff to implement and administer this chapter with or without regard to the state
Merit System. (d) The board through its executive director may enter into agreements with
a prescription drug buying group or manufacturer to negotiate price discounts or rebates on
behalf of the board or any participating department or governmental entity. (e) The...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-35-3.htm - 2K - Match Info - Similar pages
12-23-16
Section 12-23-16 Indigent Offender Alcohol and Drug Treatment Fund - Criteria for eligibility
of programs to receive payment from fund. The Department of Mental Health and Mental Retardation
shall establish criteria to determine which treatment programs shall be eligible to receive
payment for treatment services for indigent offenders from this fund, and shall establish
rates of reimbursement for treatment of indigent offenders. At a minimum, such programs must
be nonprofit and certified by the Alabama Department of Mental Health and Mental Retardation
or joint commission on accreditation of health-care organizations. (Acts 1990, No. 90-390,
p. 537, ยง16.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/12-23-16.htm - 970 bytes - Match Info - Similar pages
22-11D-10
Section 22-11D-10 Statewide Health System Fund. (a) The Statewide Health System Fund is created.
The department shall distribute funding allocated to the department for the purpose of creating,
administering, maintaining, or enhancing the statewide health system. The department may apply
for, receive, and accept gifts and other payments, including property and services, for the
fund from any governmental or other public or private entity or person and may utilize the
fund for activities related to the design, administration, operation, maintenance, or enhancement
of the statewide health system. (b) The methodology of distribution of funds and allocation
of funds shall be established by the council and subsequently adopted by the board pursuant
to the Administrative Procedure Act. Fund allocation to health care centers shall be based
upon the designated level of health care and the number of qualified patients directed through
the health care centers, as defined by the rules of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11D-10.htm - 1K - Match Info - Similar pages
22-12A-3
Section 22-12A-3 Plan to reduce infant mortality and handicapping conditions; procedure, contents,
etc. The Bureau of Maternal and Child Health under the direction of the State Board of Health
shall, in coordination with the State Health Planning and Development Agency, the State Health
Coordinating Council, the Alabama Council on Maternal and Infant Health and the regional and
State Perinatal Advisory Committees, annually prepare a plan, consistent with the legislative
intent of Section 22-12A-2, to reduce infant mortality and handicapping conditions to be presented
to legislative health and finance committees prior to each regular session of the Legislature.
Such a plan shall include: primary care, hospital and prenatal; secondary and tertiary levels
of care both in hospital and on an out-patient basis; transportation of patients for medical
services and care and follow-up and evaluation of infants through the first year of life;
and optional educational programs, including pupils in...
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22-21-361
Section 22-21-361 Definitions. The following terms shall have the meanings respectively ascribed
by this section unless the context clearly indicates otherwise: (1) COMMISSIONER. The commissioner
of insurance of this state. (2) DENTAL SERVICE PLAN or PLAN. Any plan or other arrangement
whereby dental services are provided in whole or in part through a dental service corporation
by dentists participating in the plan to provide dental services to those members of the public
who become subscribers to the plan under a contract with such corporation. The terms "dental
service plan" or "plan" do not include an insurer authorized by the insurance
department to transact insurance in this state or to a nonprofit health insurance plan organized
pursuant to Section 10-4-100, or to any policy of insurance or contract which includes dental
benefits issued by such insurer or nonprofit health insurance plan. (3) DEPARTMENT. The Department
of Insurance. (4) LICENSE. The certificate of authority issued...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-361.htm - 1K - Match Info - Similar pages
22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-371.htm - 3K - Match Info - Similar pages
22-50-17
Section 22-50-17 Operation of a facility for care or treatment of mental or emotional illness
or substance abuse, or services to persons with an intellectual disability. (a) No person,
partnership, corporation, or association of persons shall operate a facility or institution
for the care or treatment of any kind of mental or emotional illness or substance abuse or
for providing services to persons with an intellectual disability as defined in this chapter,
without being certified by the department or licensed by the State Board of Health; provided
that nothing in this section shall be construed so as to require a duly authorized physician,
psychiatrist, psychologist, social worker, licensed professional counselor operating under
the scope of his or her license, or Christian Science practitioner to obtain a license for
treatment of patients in his private office, unless he keeps two or more patients in his office
for continuous periods of 24 hours or more in one week, or that a church...
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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
22-8A-11
Section 22-8A-11 Surrogate; requirements; attending physician consulted, intent of patient
followed; persons who may serve as surrogate; priority; validity of decisions; liability;
form; declaratory and injunctive relief; penalties. (a) If no advance directive for health
care has been made, or if no duly appointed health care proxy is reasonably available, or
if a valid advance directive for health care fails to address a particular circumstance, subject
to the provisions of subsection (c) hereof, a surrogate, in consultation with the attending
physician, may, subject to the provisions of Section 22-8A-6, determine whether to provide,
withdraw, or withhold life-sustaining treatment or artificially provided nutrition and hydration
if all of the following conditions are met: (1) The attending physician determines, to a reasonable
degree of medical certainty, that: a. The individual is no longer able to understand, appreciate,
and direct his or her medical treatment, and b. The individual...
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25-5-313
Section 25-5-313 Schedule of maximum fees. Within 60 days from May 19, 1992, the Workers' Compensation
Medical Services Board shall submit to the Governor an initial schedule of maximum fees for
medical services covered by this article, which schedule shall become effective immediately
upon submission to the Governor. The initial schedule of maximum fees shall be established
by the board in the manner prescribed in this section. The fee for each service in the schedule
shall be exactly equal to an amount derived by multiplying the preferred provider reimbursement
customarily paid on May 19, 1992, by the largest health care service plan incorporated pursuant
to Sections 10-4-100 to 10-4-115, inclusive, by a factor of 1.075, which product shall be
the maximum fee for each such service. In addition the board may submit to the Governor for
approval on or before January 31, 1993, a revised schedule of selected fees for medical services
covered by this article, which fees shall not exceed...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-313.htm - 4K - Match Info - Similar pages
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