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27-1-19
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or
dental plan beneficiary may assign reimbursement for health or dental care services directly
to the provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic,
optometric, durable medical equipment, and home care services. The company or agency, when
authorized by the insured, or health or dental plan beneficiary, shall pay directly to the
health care provider the amount of the claim, under the same criteria and payment schedule
that would have been reimbursed directly to the contract provider, and any applicable interest.
This amount only applies to assigned claims. Any company or agency making a payment to the
insured, or health or dental plan beneficiary, after the rights of reimbursement have been
assigned to the provider of services, shall be liable to the provider for the payment. If
the company or agency fails to reimburse the provider in accordance with the terms...
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27-1-4
Section 27-1-4 Applicability of title - Exemptions. This title shall not apply as to:
(1) Any fraternal or other organization or activity which is exempted from the provisions
of Chapter 34 under Section 27-34-5, except to the extent provided in such section;
(2) Nonprofit corporations for establishment of hospitalization plan under Section
10-4-100 et seq., except to the extent now or hereafter provided in such laws; (3) The insurance
department of a brotherhood or labor union, the members of which are subject to the act of
Congress known as the Railway Labor Act; or (4) The establishment, maintenance, administration,
and operation of any trust established pursuant to Section 22-21-240 by agreement of
any hospitals, other health care units or dental practitioners licensed as such by the State
of Alabama. (Acts 1971, No. 407, p. 707, §12; Acts 1977, No. 166, p. 226, §1; Acts 1978,
2nd Ex. Sess., No. 24, p. 1703, §1.)...
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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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34-14C-5
Section 34-14C-5 Exemptions. The licensure requirements of this chapter do not apply
to the following entities or practitioners: (1) Home health agencies certified by the State
of Alabama to participate in the Medicare and Medicaid programs. (2) Hospital based home medical
equipment services, whether or not the services are provided through a separate corporation
or other business entity. (3) Health care practitioners legally eligible to order or prescribe
home medical equipment, or who use home medical equipment to treat patients in locations other
than the patient's residence, including, but not limited to, physicians, nurses, physical
therapists, respiratory therapists, speech therapists, occupational therapists, optometrists,
chiropractors, and podiatrists, except for those practitioners, other than a licensed physician
practicing medicine, who provide home medical equipment services in a patient's residence.
Nothing in this chapter shall be construed as prohibiting or restricting...
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34-9-7
Section 34-9-7 Exemption of certain practices and operations. (a) Nothing in this chapter
shall apply to the following practices, acts, and operations: (1) The practice of his or her
profession by a physician or surgeon holding a certificate of qualification as a medical doctor
and licensed as such under the laws of this state, provided he or she shall not practice dentistry
as a specialty. (2) The practice of dentistry in the discharge of their official duties by
graduate dentists or dental surgeons in the United States Army, Navy, Air Force, or other
armed services, public health service including, but not limited to, a federally qualified
health center authorized and operating under Section 330 of the Public Health Service
Act (42 U.S.C. § 254B), provided, however, that such federally qualified health centers shall
register pursuant to Section 34-9-7.2 (provided further however, dentists, dental hygienists,
and other personnel employed by any public health service which performs...
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38-9-2
Section 38-9-2 Definitions. For the purposes of this chapter, the following terms shall
have the following meanings: (1) ABUSE. The infliction of physical pain, injury, or the willful
deprivation by a caregiver or other person of services necessary to maintain mental and physical
health. (2) ADULT IN NEED OF PROTECTIVE SERVICES. A person 18 years of age or older whose
behavior indicates that he or she is mentally incapable of adequately caring for himself or
herself and his or her interests without serious consequences to himself or herself or others,
or who, because of physical or mental impairment, is unable to protect himself or herself
from abuse, neglect, exploitation, sexual abuse, or emotional abuse by others, and who has
no guardian, relative, or other appropriate person able, willing, and available to assume
the kind and degree of protection and supervision required under the circumstances. (3) CAREGIVER.
An individual who has the responsibility for the care of a protected...
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22-21-265
Section 22-21-265 Certificates of need - Required for new institutional health service.
(a) On or after July 30, 1979, no person to which this article applies shall acquire, construct,
or operate a new institutional health service, as defined in this article, or furnish or offer,
or purport to furnish a new institutional health service, as defined in this article, or make
an arrangement or commitment for financing the offering of a new institutional health service,
unless the person shall first obtain from the SHPDA a certificate of need therefor. Notwithstanding
any provisions of this article to the contrary, those facilities and distinct units operated
by the Department of Mental Health, and those facilities and distinct units operating under
contract or subcontract with the Department of Mental Health where the contract constitutes
the primary source of income to the facility, shall not be required to obtain a certificate
of need under this article. (b) Notwithstanding all other...
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27-19A-3
Section 27-19A-3 Prohibited provisions. No health insurance policy or employee benefit
plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this
state shall: (1) Prevent any person who is a party to or beneficiary of any such health insurance
policy or employee benefit plan from selecting the dentist of his choice to furnish the dental
care services offered by said policy or plan or interfere with said selection provided the
dentist is licensed to furnish such dental care services in this state; (2) Deny any dentist
the right to participate as a contracting provider for such policy or plan provided the dentist
is licensed to furnish the dental care services offered by said policy or plan; (3) Authorize
any person to regulate, interfere, or intervene in any manner in the diagnosis or treatment
rendered by a dentist to his patient for the purpose of preventing, alleviating, curing, or
healing dental illness or injury provided said dentist practices within...
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34-17A-3
Section 34-17A-3 Definitions. As used in this chapter, the following words have the
following meanings: (1) ADVERTISE. The issuing or causing to be distributed any card, sign,
or device to any person; or the causing, permitting, or allowing any sign or marking on or
in any building, radio or television, transmission or broadcast, or advertising by any media
or other means designed to secure public attention. (2) BOARD. The Alabama Board of Examiners
in Marriage and Family Therapy. (3) MARRIAGE AND FAMILY THERAPIST. A person to whom a valid,
current license has been issued pursuant to this chapter. (4) PERSON. Any individual, firm,
corporation, partnership, organization, political body, or other entity. (5) PRACTICE OF MARRIAGE
AND FAMILY THERAPY. The process of providing professional marriage and family therapy to individuals,
couples, and families, either alone or in a group. The practice of marriage and family therapy
utilizes established principles that recognize the interrelated...
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34-29-61
Section 34-29-61 Definitions. For the purposes of this article, the following terms
shall have the following meanings ascribed by this section: (1) ACCREDITED SCHOOL OF
VETERINARY MEDICINE. Any veterinary college or division of a university or college that offers
the degree of doctor of veterinary medicine or its equivalent and is accredited by the American
Veterinary Medical Association (AVMA). (2) ANIMAL. Any animal or mammal other than man, including
birds, fish, reptiles, wild or domestic, living or dead. (3) APPLICANT. A person who files
an application to be licensed to practice veterinary medicine or licensed as a veterinary
technician. (4) BOARD. Alabama State Board of Veterinary Medical Examiners. (5) CONSULTING
VETERINARIAN. A veterinarian licensed in another state who gives advice or demonstrates techniques
to a licensed Alabama veterinarian or group of licensed Alabama veterinarians. A consulting
veterinarian shall not utilize this privilege to circumvent the law. (6) DIRECT...
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