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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
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20-2-250
Section 20-2-250 Definitions. As used in this article, the following words shall have the following
meanings: (1) ADMINISTER. The direct application of a controlled substance whether by injection,
inhalation, ingestion, or any other means, to the body of a patient by any of the following:
a. A collaborating physician or, in his or her presence, his or her authorized agent. b. A
certified registered nurse practitioner or certified nurse midwife. c. The patient at the
direction and in the presence of the collaborating physician, certified registered nurse practitioner,
or certified nurse midwife. (2) BOARD. The Board of Medical Examiners of the State of Alabama.
(3) CERTIFIED NURSE MIDWIFE or CNM. An advanced practice nurse who is subject to a collaborative
practice agreement with a collaborating physician pursuant to Title 34, Chapter 21, Article
5, and who has advanced knowledge and skills relative to the management of women's health
care focusing on pregnancy, childbirth, the...
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20-2-60
Section 20-2-60 Definitions. As used in this article the following words shall have the following
meanings: (1) ADMINISTER. The direct application of a controlled substance, whether by injection,
inhalation, ingestion, or any other means, to the body of a patient by any of the following:
a. A supervising physician, or, in his or her presence, his or her authorized agent. b. An
assistant to physician. c. The patient at the direction and in the presence of the supervising
physician or assistant to physician. (2) ASSISTANT TO PHYSICIAN. Any person who is a graduate
of an approved program, is licensed by the board, and is registered by the board to perform
medical services under the supervision of a physician approved by the board to supervise an
assistant to physician. (3) BOARD. The Board of Medical Examiners of the State of Alabama.
(4) PHYSICIAN SUPERVISION. A formal relationship between a licensed assistant to physician
and a supervising physician under whom the assistant to physician...
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22-21-210
Section 22-21-210 Definitions. For the purposes of this article, unless otherwise indicated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) 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. (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) PHYSICIAN. Any person
who has been duly licensed to practice medicine in the State of Alabama. (4) PARTICIPATING
HOSPITAL. Any hospital, as defined by this section, which has been...
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22-5A-6
Section 22-5A-6 Procedures for resolving complaints. (a) A community ombudsman's access to
any health care facility shall be limited to standard operating hours unless prior arrangements
with the operator of the facility has been made. If the complaint involves more than one provider
or alleges to involve more than one provider, the ombudsman shall investigate all providers.
(b) Any complaint requiring remedial action and deemed valid by the ombudsman shall be identified
and brought to the attention of the administrator or provider involved and followed up in
writing within a reasonable time. Upon receipt of such document, the administrator or provider,
in coordination with the ombudsman, shall establish a course of appropriate remedial action.
If the remedial action is not forthcoming within a reasonable time, the ombudsman must refer
the case to the State Ombudsman who may take any one or more of the following actions: (1)
Allow more time if the State Ombudsman has reason to believe...
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22-6-121
Section 22-6-121 Medicaid Pharmacy and Therapeutics Committee - Composition; meetings. (a)
The Alabama Medicaid Agency shall utilize a Medicaid Pharmacy and Therapeutics Committee within
the agency for the purpose of advising and assisting Medicaid in the development of a preferred
drug plan pursuant to 42 U.S.C. ยง1396r-8. (b) The Medicaid Pharmacy and Therapeutics Committee
shall be comprised and consist of three clinical pharmacists licensed to practice in the State
of Alabama and at least five physicians licensed to practice medicine in the State of Alabama.
Physician members will be appointed by the Medicaid Commissioner from a list of at least two
nominees for each position submitted by the Medical Association of the State of Alabama. Clinical
pharmacist members will be nominated by the Alabama Pharmacy Association and appointed by
the Medicaid Commissioner. Members of the Medicaid Pharmacy and Therapeutics Committee should
be enrolled Medicaid providers and have experience...
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26-23H-3
Section 26-23H-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ABORTION. The use or prescription of any instrument, medicine, drug, or any
other substance or device with the intent to terminate the pregnancy of a woman known to be
pregnant with knowledge that the termination by those means will with reasonable likelihood
cause the death of the unborn child. The term does not include these activities if done with
the intent to save the life or preserve the health of an unborn child, remove a dead unborn
child, to deliver the unborn child prematurely to avoid a serious health risk to the unborn
child's mother, or to preserve the health of her unborn child. The term does not include a
procedure or act to terminate the pregnancy of a woman with an ectopic pregnancy, nor does
it include the procedure or act to terminate the pregnancy of a woman when the unborn child
has a lethal anomaly. (2) ECTOPIC PREGNANCY. Any pregnancy resulting from...
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32-6-230
Section 32-6-230 Definitions. For purposes of this division, the following terms shall have
the following meanings as provided in this section: (1) INDIVIDUAL WITH A LONG-TERM DISABILITY.
Any person with a long-term disability which limits or impairs the ability of the person to
walk, and the person meets any one of the following conditions, as determined by a licensed
physician: a. The person cannot walk 200 feet without stopping to rest. b. The person cannot
walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic
device, wheelchair, or other assistive device. c. The person is restricted by lung disease
to such an extent that the person's forced respiratory expiratory volume for one second, when
measured by spirometry, is less than one liter, or the arterial oxygen tension is less than
60 mm/hg, millimeters of mercury, on room air at rest. d. The person uses portable oxygen.
e. The person has a cardiac condition to the extent that the functional...
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34-14-2
Section 34-14-2 Licenses or permits - Required; display; duplicates; corporations, partnerships,
etc. (a) No person shall engage in the sale of or practice of fitting hearing instruments
or display a sign or in any other way advertise or represent himself or herself as a person
who practices the fitting and sale of hearing instruments unless the person holds a license
or permit issued by the board as provided in this chapter. The license or permit shall be
conspicuously posted in his or her office or place of business. Duplicate licenses or permits
may be issued by the board to valid license holders operating more than one office, upon additional
payment determined by the board for each additional office. A license under this chapter shall
confer upon the holder the right to select, fit, and sell hearing instruments. (b) Nothing
in this chapter shall prohibit a corporation, partnership, trust, association, or other like
organization maintaining an established business address from...
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34-25A-8
Section 34-25A-8 Alabama State Board of Prosthetists and Orthotists. (a) Effective October
1, 2009, the existing Alabama State Board of Prosthetists and Orthotists is abolished. Notwithstanding
the foregoing, members on the board serving on October 1, 2009, shall continue to serve until
their successors are appointed. Effective October 1, 2009, a new Alabama State Board of Prosthetists
and Orthotists is created to administer this chapter and shall be composed of nine members
as provided in this section who shall be compensated at the rate of one hundred dollars ($100)
per day plus travel expenses for each day they perform their duties. The board membership
shall reflect the racial, gender, geographic, urban and rural, and economic diversity of the
state and each member of the board shall be a citizen of this state. The Attorney General
of the state shall act as legal advisor of the board and shall render such legal assistance
as may be necessary in carrying out the provisions of this...
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