|
34-23-114
Section 34-23-114 Denial of payment. (a) No program administrator shall deny payment for services
to any pharmacy which may have resulted from the fraudulent or illegal use of any identification
card by any person unless the pharmacy has been notified that the card has been canceled or
discontinued and that the program administrator has been unsuccessful in attempting to regain
possession of the card. (b) No program administrator shall withhold any payments to any pharmacy
beyond the time period specified in the payment schedule provisions of the agreement, except
that individual claims for payment may be returned to the pharmacy for reasons such as incomplete
or illegible information and may then be resubmitted by the pharmacy to the program administrator
after appropriate corrections have been made. (Acts 1981, No. 81-337, p. 477, §5.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-23-114.htm - 1K - Match Info - Similar pages
34-23-113
Section 34-23-113 Cancellation of program; use of identity card after cancellation. (a) The
administrator of a program shall notify all pharmacies enrolled in the program of any cancellation
of coverage of benefits of any group enrolled in the program at least 30 days prior to the
effective date of such cancellation. (b) All persons enrolled in a program shall be notified
of its cancellation, and the administrator of the program shall make every reasonable effort
to gain possession of any plan identification cards such persons may have been issued pursuant
to the provisions of the program. (c) Any person who utilizes a program identification card
to obtain services from a pharmacy after having received notice of the cancellation of his
benefits shall be liable to the program administrator for all money paid by the program administrator
for any services received pursuant to the illegal use of the identification card. (Acts 1981,
No. 81-337, p. 477, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-23-113.htm - 1K - Match Info - Similar pages
20-2-190
Section 20-2-190 Penalties; sale of ephedrine, etc.; Alabama Drug Abuse Task Force. (a) Any
person who manufactures, sells, transfers, receives, or possesses a listed precursor chemical
violates this article if the person: (1) Knowingly fails to comply with the reporting requirements
of this article; (2) Knowingly makes a false statement in a report or record required by this
article or the rules adopted thereunder; (3) Is required by this article to have a listed
precursor chemical license or permit, and is a person as defined by this article, and knowingly
or deliberately fails to obtain such a license or permit. An offense under this subsection
shall constitute a Class C felony. (b) Notwithstanding the provisions of Section 20-2-188,
a person who possesses, sells, transfers, or otherwise furnishes or attempts to solicit another
or conspires to possess, sell, transfer, or otherwise furnish a listed precursor chemical
or a product containing a precursor chemical or ephedrine or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/20-2-190.htm - 25K - Match Info - Similar pages
32-8-87
Section 32-8-87 Dismantling, destroying, changing identity of vehicle; certificate requirements;
insurance claims; "total loss"; removal of identification numbers, plates, etc.;
transfer of salvage vehicles; inspections; "component parts"; rebuilt vehicles;
flood vehicles; online verifications. (a) Each owner of a motor vehicle and each person mentioned
as owner in the last certificate of title who scraps, dismantles, destroys, or changes the
motor vehicle in such a manner that it is not the same motor vehicle described in the certificate
of origin or certificate of title shall as soon as practicable cause the certificate of origin
or certificate of title, if any, and any other documents or information required by the department
to be mailed or delivered to the department for processing. The department shall, with the
consent of any holder of liens noted on the surrendered certificate, enter a cancellation
upon its records. Upon cancellation of a certificate of origin or certificate of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/32-8-87.htm - 32K - Match Info - Similar pages
34-23-112
Section 34-23-112 Required contractual provisions. Any agreement or contract entered into in
this state between the program administrator of a third party program and a pharmacy shall
include a statement of the method and amount of reimbursement to the pharmacy for services
rendered to persons enrolled in the program, the frequency of payment by the program administrator
to the pharmacy for such services rendered, and a method for the adjudication of complaints
or the settlement of disputes between the parties. (Acts 1981, No. 81-337, p. 477, §3.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-23-112.htm - 862 bytes - 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
27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every health
benefit plan that provides coverage for prescription drugs or devices, or administers a plan,
including, but not limited to, third party administrators for self-insured plans and state
administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds a
card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-22.htm - 3K - Match Info - Similar pages
27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-14-11.1.htm - 3K - Match Info - Similar pages
33-5-54
Section 33-5-54 Issuance of boater safety certification. (a) Unless otherwise provided in this
article, upon the installation of a system for the issuance of boater safety certifications
with color photographs of holders, all certifications and renewals issued in this state shall
be issued in the following manner: (1) The person shall apply under oath to the judge of probate
or license commissioner of the county of residence for the certification or renewal upon a
form which shall be provided by the Director of Public Safety. (2) Subject to the other provisions
of this section, the judge of probate or license commissioner shall take a color photograph
of the holder, with equipment to be furnished by the Department of Public Safety, to be attached
to each application. (b) It is the legislative intent to implement and maintain a boater safety
certification program at the lowest possible cost to the citizens of Alabama. Consistent with
this goal, it is the legislative intent to not...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/33-5-54.htm - 2K - Match Info - Similar pages
31-13-29
Section 31-13-29 Limitations on public records transactions conducted by unauthorized aliens.
(a) For the purposes of this section, public records transaction means applying for or renewing
a motor vehicle license plate, applying for or renewing a driver's license or nondriver identification
card, applying for or renewing a business license, applying for or renewing a commercial license,
or applying for or renewing a professional license. Public records transaction does not include
applying for a marriage license, any transaction relating to housing under Title 24 or the
ownership of real property, including the payment of property taxes, or the payment of any
other tax to the state or a political subdivision thereof, or any other transaction. (b) An
alien not lawfully present in the United States shall not enter into or attempt to enter into
a public records transaction with the state or a political subdivision of the state and no
person shall enter into a public records transaction...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/31-13-29.htm - 6K - Match Info - Similar pages
|