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22-6-123
Section 22-6-123 Considerations for inclusions on preferred drug list; review; adoption of
list. (a) Drugs will be considered for the Medicaid preferred drug list based on clinical
efficacy, side effect profiles, appropriate usage, and cost effectiveness. (b) The Medicaid
Pharmacy and Therapeutics Committee shall perform a thorough review of relevant clinical and
medical considerations, including, but not limited to: Medicaid Drug Utilization Review (DUR)
data; Surveillance Utilization Review (SUR) data; potential abuse, misuse, or inappropriate
use in prescribing and/or dispensing patterns; inconsistency with FDA approved labeling, inconsistency
with uses recognized in the American Hospital Formulary Service Drug Information, and the
American Medical Association Drug Evaluations, or the U.S. Pharmacopoeia Dispensing Information.
(c) The Medicaid Pharmacy and Therapeutics Committee shall recommend and the Medicaid Agency
shall adopt an initial Medicaid preferred drug list not later...
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22-6-200
Section 22-6-200 Federal financial participation; contract for services. This article shall
be of no effect if federal financial participation under Title XIX of the Social Security
Act is not available to the Medicaid program for the purposes of this article at the approved
federal medical assistance percentage, established under Section 1905 of the Social Security
Act, for the applicable fiscal year, or in the event a contract for services between the PACE
program and the State of Alabama Medicaid Agency or Regional Care Organization is not executed
by September 30, 2014, and by the end of each subsequent state fiscal year thereafter. (Act
2014-126, p. 236, §11.)...
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40-26B-75
Section 40-26B-75 Quarterly notice and collection. (a)(1) The annual assessment imposed under
this article shall be due and payable on a quarterly basis during the first 15 business days
of each quarter. (2) Notwithstanding subdivision (1), the installment payment of an assessment
imposed by this article shall not be due and payable until: a. The department issues the written
notice required by this article stating that the payment methodologies to privately operated
hospitals required under this article have been approved by the Centers for Medicare and Medicaid
Services and the waiver under 42 C.F.R. §433.68 for the assessment imposed by this article,
if necessary, has been granted by the Centers for Medicare and Medicaid Services, or if approval
for the State Plan Amendment and the waiver under 42 CFR §433.68 for the assessment imposed
by this article, if necessary, is delayed for any reason, the payment shall be recalulated
by Medicaid upon actual approval; and b. The 30-day...
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22-6-163
Section 22-6-163 Legislative findings; rules; collaboration; approval of agreements and contracts;
state action immunity; confidentiality of records; additional duties. (a) The Legislature
declares that collaboration among public payers, private health carriers, third party purchasers,
and providers to identify appropriate service delivery systems and reimbursement methods in
order to align incentives in support of integrated and coordinated health care delivery is
in the best interest of the public. Collaboration pursuant to this article is to provide quality
health care at the lowest possible cost to Alabama citizens who are Medicaid eligible. The
Legislature, therefore, declares that this health care delivery system affirmatively contemplates
the foreseeable displacement of competition, such that any anti-competitive effect may be
attributed to the state's policy to displace competition in the delivery of a coordinated
system of health care for the public benefit. In furtherance of...
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22-6-192
Section 22-6-192 Definitions. For the purposes of this article, the following words have the
following meanings: (1) DEPARTMENT. The State Department of Revenue. (2) FISCAL YEAR. An accounting
period of 12 months beginning on the first day of the first month of the state fiscal year.
(3) MEDICAID PROGRAM. The medical assistance program as established in Title XIX of the Social
Security Act and as administered in the State of Alabama by the Medicaid Agency pursuant to
executive order and Title 560 of the Alabama Administrative Code. (4) PACE PROVIDER. PACE
means a provider under the federal Program for All Inclusive Care for the Elderly operated
by a public, private, nonprofit, or proprietary entity, as permitted by federal law as defined
at 42 C.F.R. §460.6, as amended and supplemented. (Act 2014-126, p. 236, §3.)...
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36-26-48
Section 36-26-48 Lump-sum merit reward payments for certain full-time state employees. (a)
Commencing October 1, 2019, and based on the availability of funds, an appointing authority
may provide a lump sum merit reward payment, in an amount of up to two and one-half percent
of the annual base salary of a qualified employee on his or her anniversary date if, on October
1 of the fiscal year in which the merit reward payment is to be paid, all of the following
conditions have existed for the previous two consecutive fiscal years: (1) The employee has
earned the maximum rate of pay allowed in his or her pay range. (2) The employee has met or
exceeded standards on his or her annual performance appraisal. (3) A cost-of-living increase
has not been provided to state employees. (b) At the beginning of each fiscal year, an appointing
authority shall determine what percentage amount shall be used for calculating the total amount
of lump sum merit reward payments to be paid to all qualified...
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40-26B-1
Section 40-26B-1 Definitions. The following words, terms and phrases, when used in this article
shall have the meanings ascribed to them in this section, except where the context clearly
indicates a different meaning: (1) DEPARTMENT. The Department of Revenue of the State of Alabama.
(2) FISCAL YEAR. An accounting period of 12 months beginning on the first day of the first
month of the state fiscal year. (3) MEDICAID PROGRAM. The medical assistance program as established
in Title XIX of the Social Security Act and as administered in the State of Alabama by the
Alabama Medicaid Agency pursuant to executive order and Title 560 of the Alabama Administrative
Code. (4) PHARMACEUTICAL PROVIDER. A provider of drugs, medicines, chemicals and poisons which,
pursuant to a valid prescription, are offered for sale, compounded or dispensed to citizens
of Alabama. This term shall include all places whose title may imply the sale, offering for
sale, compounding or dispensing, of drugs, medicines,...
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16-13-303
Section 16-13-303 Notes not general obligations; source of payment. (a) Warrants issued under
this article shall not be general obligations of the board issuing such warrants but shall
be payable solely from the designated revenues or tax proceeds of the board which may be lawfully
applied to the payment of indebtedness of such board, including funds derived from any one
or more of the following sources: (1) The proceeds of any ad valorem tax or taxes levied for
the purpose of paying such warrants, or for educational or public school purposes, and paid,
apportioned, allocated, or distributed to or for the benefit of the board. (2) The proceeds
of any privilege, license, or excise tax or taxes that may be paid, apportioned, allocated,
or distributed to or for the benefit of the board. (3) Any revenues of whatsoever kind or
nature (including, without limitation, payments pursuant to agreements delivered pursuant
to this article and payments in lieu of taxes) that may be paid,...
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22-21-292
Section 22-21-292 Definitions. For the purpose of this article the following terms shall have
the meanings respectively ascribed to them by this section: (1) LOCAL AGENCY. Any county existing
or hereafter created pursuant to the laws of this state. (2) INDIGENT. Any person who has
resided continuously in this state for not less than one year and who is acutely ill or injured
and can be helped markedly by treatment in a hospital, but who is unable to pay the cost of
such hospitalization from his own resources or from the resources of those upon whom he is
legally dependent. (3) DEPARTMENT. The Department of Human Resources. (4) HOSPITAL. Any state,
county, municipal or other public or private hospital licensed under the laws of this state,
except a hospital, whether public or private, which is operated primarily for the care and
treatment of tuberculosis, mental disorders or any other such chronic disease or illness.
(5) REGIONAL REFERRAL HOSPITAL. Any hospital that provides services to...
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22-21-338
Section 22-21-338 Authority as designated agency for purposes of Division 2 of Article 4 of
this chapter. An authority shall constitute a "hospital corporation" as that term
is used in Division 2 of Article 4 of this chapter; and any county otherwise authorized to
do so may designate any authority having the power to own and operate health care facilities
situated in such county as the agency of such county to acquire, construct, equip, operate
and maintain public hospital facilities in such county, in the manner and with the consequences
specified in said Division 2. Such authority shall, if so designated, receive the proceeds
from any special public hospital tax referred to in said Division 2. Further, the reincorporation
hereunder of any public hospital corporation that has theretofore been designated as the agency
of a county to acquire, construct, equip, operate and maintain public hospital facilities
in such county shall in no way impair or invalidate such designation, and such...
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