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27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
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34-13A-2
Section 34-13A-2 Definitions. For the purposes of this chapter, the following terms shall have
the following meanings: (1) ABGC. The American Board of Genetic Counseling, or its successor
or equivalent. (2) ABMGG. The American Board of Medical Genetics and Genomics, or its successor
or equivalent. (3) ACGC. The Accreditation Council for Genetic Counseling, or its successor
or equivalent. (4) BOARD. The Alabama Board of Genetic Counseling. (5) EXAMINATION FOR LICENSURE.
The ABGC or ABMGG certification examination, or the examination provided by a successor entity
to the ABGC or ABMGG, to test the competence and qualifications of applicants to practice
genetic counseling. (6) GENETIC COUNSELING. The provision of services by a genetic counselor
to do any of the following: a. Obtain and evaluate individual, family, and medical histories
to determine genetic risk for genetic or medical conditions and diseases in a patient, his
or her offspring, or other family members. b. Discuss the...
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6-5-333
Section 6-5-333 Dentists, chiropractors, and physicians serving on utilization and quality
control committees, peer review committees, or professional standards review committees; consultants
thereto and employees thereof; dental, chiropractic and medical societies and associations;
appeal to Alabama Dental Association; confidentiality. (a) Any dentist, chiropractor, or physician
licensed to practice medicine in Alabama who serves on a peer review or a utilization and
quality control committee or professional standards review committee or a similar committee
or a committee of similar purpose or any dentist, physician, chiropractor, or individual who
serves as a consultant or employee to one of said committees established either by a dental
society or dental association or by a chiropractic society or chiropractic association or
by a state medical association or county medical society to review any aspect of dental care,
chiropractic care, or medical care at the request of a government...
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16-22A-3
Section 16-22A-3 Definitions. When used in this chapter only, the following terms shall have
the following meanings, respectively, unless the context clearly indicates otherwise: (1)
APPLICANT. A certified or noncertified individual who submits an application for employment
to a local employing board or any nonpublic school, to act in any capacity in which the individual
will have unsupervised access to children in an educational environment. (2) APPLICANT FOR
CERTIFICATION. An individual who submits an application for certification issued by the State
Superintendent of Education. (3) AUTHORIZED EMPLOYER. Any educational entity authorized to
obtain criminal history background information, including the State Department of Education,
local employing boards, and nonpublic schools which are responsible for hiring employees or
contracting with private employers to provide personnel who have unsupervised access to children
in an educational setting. (4) CERTIFIED APPLICANT FOR EMPLOYMENT. A...
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34-9-6.1
Section 34-9-6.1 Mobile dental facilities or portable dental operations. (a) For purposes of
this section, the following words have the following meanings: (1) DENTAL HOME. The dental
home is the ongoing relationship between the dentist and the patient, inclusive of all aspects
of oral health care, delivered in a comprehensive, continuously accessible, coordinated, and
family-centered way. (2) MOBILE DENTAL FACILITY. Any self-contained facility in which dentistry
or dental hygiene is practiced which may be moved, towed, or transported from one location
to another. (3) OPERATOR. A person licensed to practice dentistry in this state or an entity
which is approved as tax exempt under Section 501(c)(3) of the Internal Revenue Code which
employs dentists licensed in the state to operate a mobile dental facility or portable dental
operation. (4) PORTABLE DENTAL OPERATION. The use of portable dental delivery equipment which
is set up on site to provide dental services outside of a mobile...
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16-28B-8
Section 16-28B-8 Suicide prevention programs, training, and policies; advisory committee; liability.
(a) To the extent that the Legislature shall appropriate funds, or to the extent that any
local board may provide funds from other sources, each school system shall implement the following
standards and policies for programs in an effort to prevent student suicide: (1) Foster individual,
family, and group counseling services related to suicide prevention. (2) Make referral, crisis
intervention, and other related information available for students, parents, and school personnel.
(3) Foster training for school personnel who are responsible for counseling and supervising
students. (4) Increase student awareness of the relationship between drug and alcohol use
and suicide. (5) Educate students in recognizing signs of suicidal tendencies and other facts
and warning signs of suicide. (6) Inform students of available community suicide prevention
services. (7) Promote cooperative efforts...
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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...
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34-29-69
Section 34-29-69 Powers of board. The board shall be a body corporate and shall have the power
to do all of the following: (1) Examine and determine the qualifications and fitness of applicants
for a license to practice veterinary medicine in the state. (2) Issue, renew, deny, suspend,
and revoke licenses, issue private reprimands and private informed admonitions to practitioners
who practice veterinary medicine in this state, or otherwise discipline or censure veterinary
professionals, irrespective of their licensure status, whether active, inactive, expired,
lapsed, surrendered, or disciplined, relative to acts, omissions, complaints, and investigations
which occurred during the licensure period consistent with this article. (3) Conduct investigations
for the purpose of discovering violations of this article or grounds for disciplining licensed
veterinary professionals or other non-licensed individuals pursuant to the administrative
code of the board and appoint individuals and...
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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,...
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34-29-72
Section 34-29-72 Application; qualifications; faculty license. (a) Any person desiring a license
to practice veterinary medicine in this state shall make written application in the English
language to the board. The application shall show that the applicant is at least 21 years
old, is a graduate of an accredited veterinary school, is a citizen of the United States or,
if not a citizen of the United States, is legally present in the United States with appropriate
documentation from the federal government, and any other information and proof as the board
may require pursuant to the administrative code of the board. The application shall be accompanied
by application and examination fees in the amounts established and published by the board.
(b) Graduates of veterinary medical programs not accredited by the AVMA shall furnish satisfactory
proof of an Educational Commission for Foreign Veterinarian Graduates (ECFVG) certificate
or its equivalent provided by the American Veterinary Medical...
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