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27-19-105
Section 27-19-105 Regulations for long-term care policies; outline of coverage, policy summary,
and monthly report. (a) The commissioner may adopt regulations that include standards for
full and fair disclosure setting forth the manner, content, and required disclosures for the
sale of long-term care insurance policies, terms of renewability, initial and subsequent conditions
of eligibility, nonduplication of coverage provisions, coverage of dependents, preexisting
conditions, termination of insurance, continuation or conversion, probationary periods, limitations,
exceptions, reductions, elimination periods, requirements for replacement, recurrent conditions,
and definitions of terms. Regulations under this subsection should recognize the developing
and unique nature of long-term care insurance and the distinction between group and individual
long-term insurance policies. (b) No long-term care insurance policy may do any of the following:
(1) Be cancelled, nonrenewed, or otherwise...
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27-3A-2
Section 27-3A-2 Purposes. The purposes of this chapter are to: (1) Promote the delivery of
quality health care in a cost-effective manner. (2) Assure that utilization review agents
adhere to reasonable standards for conducting utilization review. (3) Foster greater coordination
and cooperation between health care providers and utilization review agents. (4) Improve communications
and knowledge of benefit plan requirements among all parties concerned before expenses are
incurred. (5) Ensure that utilization review agents maintain the confidentiality of medical
records in accordance with applicable laws. (Acts 1994, 1st Ex. Sess., No. 94-786, p. 80,
ยง2.)...
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16-60-111.4
Section 16-60-111.4 Powers of Board of Trustees. (a) The board shall be authorized to: (1)
Make rules and regulations for the government of community and technical colleges. (2) Prescribe
for the community and technical colleges the courses of study to be offered and the conditions
for granting certificates, diplomas, and degrees. (3) Appoint or terminate the employment
of the presidents of the community and technical colleges. (4) Direct the expenditure of legislative
appropriations of community and technical colleges including, but not limited to, the allocation
of the annual legislative appropriation, as the board determines is in the best interests
of the Alabama Community College System. (5) Prescribe qualifications for faculty and establish,
publish, and maintain an annual salary schedule for each community and technical college employee
classification and tenure requirements for faculty at community and technical colleges. (6)
Accept gifts, donations, and devises and bequests of...
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22-13A-4
Section 22-13A-4 Establishment and promotion of program; duties of officer; strategies for
raising public awareness and educating consumers and professionals. (a) The State Department
of Health, hereinafter referred to as "the department," shall establish, promote,
and maintain an osteoporosis prevention and treatment education program in order to raise
public awareness, educate consumers, educate and train health professionals, teachers, and
human service providers, and for other purposes. (b) For purposes of administering this chapter,
the State Health Officer shall do all of the following: (1) Provide sufficient staff to implement
the Osteoporosis Prevention and Treatment Education Program. (2) Provide appropriate training
for staff of the Osteoporosis Prevention and Treatment Education Program. (3) Identify the
appropriate entities to carry out the program. (4) Base the program on the most up-to-date
scientific information and findings. (5) Work to improve the capacity of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-13A-4.htm - 5K - Match Info - Similar pages
22-21-264
Section 22-21-264 Criteria for state agency review. The SHPDA, pursuant to the provisions of
Section 22-21-274, shall prescribe by rules and regulations the criteria and clarifying definitions
for reviews covered by this article. These criteria shall include at least the following:
(1) Consistency with the appropriate State Health Facility and services plans effective at
the time the application was received by the State Agency, which shall include the latest
approved revisions of the following plans: a. The most recent Alabama State Health Plan which
shall include updated inventories and separate bed need methodologies for inpatient rehabilitation
beds, inpatient psychiatric beds and inpatient/residential alcohol and drug abuse beds. b.
Alabama State Health Plan for services to the mentally ill. c. Alabama State Plan for rehabilitation
facilities. d. Alabama developmental disabilities plan. e. Alabama State alcoholism plan.
f. Such other State Plans as may from time to time be...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-264.htm - 4K - Match Info - Similar pages
22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) 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
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-220.htm - 3K - Match Info - Similar pages
27-21B-10
Section 27-21B-10 Enforcement of health care coverage for certain employers. (a) In any case
in which a noncustodial parent is required by a court or administrative order to provide health
care coverage for such child and the employer of the noncustodial parent is known to the Department
of Human Resources, the department shall use the federally required medical support notice
to provide notice to the employer of the requirement for employer-based health care coverage
for the child through the parent of the child who has been ordered to provide health care
coverage for the child unless a court or administrative order stipulates that alternative
health care coverage to employer-based coverage is to be provided for a child subject to a
Title IV-D child support order. In the case of an employer entered in the directory of new
hires pursuant to Section 25-11-5, the department shall send the federal medical support notice
to any employer of a noncustodial parent subject to the order within...
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22-7A-1
Section 22-7A-1 Physician agreements; dentist agreements. (a) For the purposes of this chapter,
the following words shall have the following meanings: (1) DENTIST. A person licensed to practice
dentistry in this state. (2) DENTIST AGREEMENT or AGREEMENT. A contract between a dentist
and a patient or his or her legal representative in which the dentist or the dentist's medical
practice agrees to provide dental services to the patient for an agreed upon fee and period
of time. (3) DENTIST PRACTICE. A dentist or a dental practice of a dentist that charges a
periodic fee for dental services and which does not bill a third party any additional fee
for services for patients covered under a dental agreement. The per visit charge of the practice
shall be less than the monthly equivalent of the periodic fee. (4) PHYSICIAN. A person licensed
to practice medicine in this state. (5) PHYSICIAN AGREEMENT or AGREEMENT. A contract between
a physician and a patient or his or her legal representative in...
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27-19-20
Section 27-19-20 Optional policy provisions - Insurance with other insurers - Expense-incurred
benefits. (a) There may be a provision as follows: "Insurance with Other Insurers: If
there be other valid coverage, not with this insurer, providing benefits for the same loss
on a provision of service basis or on an expense-incurred basis and of which this insurer
has not been given written notice prior to the occurrence or commencement of loss, the only
liability under any expense-incurred coverage of this policy shall be for such proportion
of the loss as the amount which would otherwise have been payable hereunder plus the total
of the like amounts under all such other valid coverages for the same loss of which this insurer
had notice bears to the total like amounts under all valid coverages for such loss, and for
the return of such portion of the premiums paid as shall exceed the pro rata portion for the
amount so determined. For the purpose of applying this provision when other...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-20.htm - 3K - Match Info - Similar pages
40-9-30
Section 40-9-30 Durable medical equipment; exemptions from certain taxes. (a) As used in this
section, the term "durable medical equipment" means equipment which can stand repeated
use, is used to serve a purpose for medical reasons, and is appropriate and suitable for use
in the home. (b) Oxygen or durable medical equipment dispensed under orders from a duly licensed
physician by a participating provider to a recipient of benefits under the Medicare program
shall be exempt from state and local sales and use taxes. (c) A provider who rents or leases
oxygen or durable medical equipment to a recipient of benefits under the Medicare or Medicaid
program under orders from a duly licensed physician shall be exempt from all state and local
rental and leasing taxes. (d) In addition to any other exemptions provided in subsection (b)
or (c), any items used for the treatment of illness or injury or to replace all or part of
a limb or internal body part purchased by or on behalf of an individual...
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