34-23-183
Section 34-23-183 Application. This article shall apply to any audit of the records of a pharmacy
conducted by a managed care company, nonprofit hospital or medical service organization, health
benefit plan, third-party payor, pharmacy benefit manager, a health program administered by
a department of the state, except the Alabama Medicaid Agency, or any entity that represents
those companies, groups, or department. (Act 2012-306, p. 668, §4; Act 2018-457, §1.)...

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36-28-5
Section 36-28-5 Submission, approval, etc., of plans for coverage of employees of political
subdivisions and of state and local instrumentalities; payment, etc., of contributions by
political subdivisions or instrumentalities and employees generally. (a) Each political subdivision
of the state and each instrumentality of the state or of a political subdivision is hereby
authorized to submit for approval by the state Comptroller a plan for extending the benefits
of Title II of the Social Security Act, in conformity with applicable federal law, to employees
of any such political subdivision or instrumentality. Each such plan or any amendment thereof
shall be approved by the state Comptroller if it finds that such plan or such plan as amended
is in conformity with such requirements as are provided in regulations of the state Comptroller;
except, that no such plan shall be approved unless: (1) It is in conformity with the requirements
of the applicable federal law and with the agreement...
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40-26B-21
Section 40-26B-21 Privilege assessment on nursing facilities. To provide further for the availability
of indigent health care, the operation of the Medicaid program, and the maintenance and expansion
of medical services: (a) There is levied and shall be collected a privilege assessment on
the business activities of every nursing facility in the State of Alabama. The privilege assessment
imposed is in addition to all other taxes and assessments, and shall be at the annual rate
of one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96) for each
bed in the nursing facility. Beginning September 1, 2020, the privilege assessment shall be
increased from one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96)
for each bed in the nursing facility, by an addition to the privilege assessment equal to
three hundred twenty-seven dollars and forty-eight cents ($327.48) per annum. The addition
to the privilege assessment shall be paid in equal monthly...
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12-15-504
Section 12-15-504 Creation of Executive Council of the State Team; membership; duties. There
is created an Executive Council of the State Team consisting of the heads of the following
departments or agencies: Department of Education, Department of Human Resources, Department
of Mental Health, Department of Public Health, and the Department of Youth Services. The Executive
Council shall exercise general supervision and oversight over the State Team, approve its
state plan and its budget, oversee all financial arrangements, approve all policies and procedures,
as well as amendments thereto, and establish minimum standards for the operation of county
teams. (Acts 1993, No. 93-256, p. 367, §2; §12-15-170; amended and renumbered by Act 2008-277,
p. 441, §26.)...
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22-18-40
Section 22-18-40 State Emergency Medical Control Committee. (a) The board shall be assisted
in formulating rules and policy pertaining to emergency medical services by the State Emergency
Medical Control Committee (SEMCC). Each member of the SEMCC shall have voting privileges.
Members of the SEMCC shall serve without compensation but shall be entitled to reimbursement
for expenses incurred in the performance of the duties of their office at the same rate paid
state employees. The chair of SEMCC may establish subcommittees of SEMCC comprised of representatives
from ambulance, fire, rescue, and other EMS groups, as needed. (b) The SEMCC shall be composed
as follows: (1) The medical directors of each EMS region designated by the board as ex officio
members. (2) One member who shall be a physician appointed by the Alabama Chapter of the American
College of Emergency Physicians. (3) One member who shall be a physician appointed by the
State Committee on Trauma of the American College of...
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22-21-271
Section 22-21-271 Certificates of need - Application fees; appropriation of funds; disposition
of fees. (a) Each application for a certificate of need shall be accompanied by a fee of one
percent of the estimated cost of the proposed cost of the new Institutional Health Service,
or a maximum of twelve thousand dollars ($12,000) (indexed) per application. Provided, that
the application fee shall be three-fourths of one percent of the estimated cost of the proposed
new Institutional Health Service, or a maximum of eight thousand dollars ($8,000) if the applicant
has had an average daily census comprised of 50 percent or more Medicaid patients within the
last year prior to the filing of the application and a maximum of six thousand dollars ($6,000)
if a rural hospital applicant has had an average daily census comprised of 30 percent or more
Medicaid/Medicare patients within the last year prior to the filing of the application. The
minimum fee shall be set by the SHPDA. Fees shall be used...
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22-6-11
Section 22-6-11 Breast and cervical cancer prevention and treatment. (a) This section shall
be known and may be cited as the "2009 Breast and Cervical Cancer Prevention and Treatment
Act." (b)(1) Medicaid eligibility and coverage shall be extended to a woman who has been
determined to be eligible to participate in and has been screened for breast or cervical cancer
by any health care provider or entity, or both, that satisfies any of the following: a. Receives
direct payment for screening services by National Breast and Cervical Cancer Early Detection
Program (NBCCEDP) Title XV funds. b. Is funded at least in part by NBCCEDP grantee Title XV
funds for screening services. c. Is not funded at all by NBCCEDP grantee Title XV funds but
has been identified by the Department of Public Health as part of the Alabama Breast and Cervical
Cancer Early Detection Program and operates consistently within its guidelines. (2) Coverage
under this section shall be limited to any woman screened and...
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27-19A-9
Section 27-19A-9 Nonconforming policies and plans not to be approved by commissioner. The Commissioner
of Insurance shall not approve for sale in this state any health insurance policy or employee
benefit plan providing for dental care services which does not conform to the provisions of
this chapter or to the provisions of Sections 27-14-8 and 27-14-9. (Acts 1984, No. 84-411,
p. 960, §8.)...
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27-45-7
Section 27-45-7 Nonconforming policies and plans not to be approved for sale. The Commissioner
of Insurance shall not approve for sale in this state any health insurance policy or employee
benefit plan providing for pharmaceutical services, including without limitation, prescription
drugs, which does not conform to the provisions of this article or to the provisions of Sections
27-14-8 and 27-14-9. (Acts 1988, No. 88-379, p. 565, §7.)...
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27-54-2
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have the following
meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological, psychological,
and psychosocial concepts, techniques, and processes necessary to maintain or develop functional
skills of clients, provided to individuals and groups for periods of more than two hours but
less than 24 hours a day. (2) HEALTH BENEFIT PLAN. A health care service plan governed by
the provisions of Article 6, Chapter 4, Title 10, and a group health insurance policy, including
an employee welfare health benefit plan, that covers hospital, medical, or surgical expenses,
issued by insurers, health maintenance organizations, preferred provider organizations, medical
service organizations, physician-hospital organizations, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for, purchases, or furnishes health
care services to patients, insureds, or...
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