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22-1-18
Section 22-1-18 Autism Spectrum Disorder coverage and reimbursement under Children's Health
Insurance Plan. In the administration of and provision of benefits for the Children's Health
Insurance Plan (ALL Kids), the Alabama Department of Public Health, on and after December
31, 2018, shall provide coverage and reimbursement for the treatment of Autism Spectrum Disorder
in the same manner and same levels as health benefit plans. (Act 2017-337, §2.)...
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27-54A-2
Section 27-54A-2 Treatment under certain policies and contracts. (a) As used in this section,
the following words have the following meanings: (1) APPLIED BEHAVIOR ANALYSIS. The design,
implementation, and evaluation of environmental modifications, using behavioral stimuli and
consequences, to produce socially significant improvement in human behavior, including the
use of direct observation, measurement, and functional analysis of the relationship between
environment and behavior. (2) AUTISM SPECTRUM DISORDER. Any of the pervasive developmental
disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) or the edition that was in effect at the
time of diagnosis. (3) BEHAVIORAL HEALTH TREATMENT. Counseling and treatment programs, including
applied behavior analysis that are both of the following: a. Necessary to develop, maintain,
or restore, to the maximum extent practicable, the functioning of an...
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22-6-14
Section 22-6-14 Autism Spectrum Disorder coverage and reimbursement under Alabama Medicaid
program. In the administration of and provision of benefits for the Alabama Medicaid program,
the Alabama Medicaid Agency, on and after December 31, 2018, shall provide coverage and reimbursement
for the treatment of Autism Spectrum Disorder in the same manner and same levels as health
benefit plans. (Act 2017-337, §2.)...
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22-57-3
Section 22-57-3 Definitions. For purposes of this article, the following terms shall have the
following meanings: (1) AUTISM SERVICES. Any developmental services that include all of the
following: a. Are designed to meet developmental needs of an individual with ASD across the
lifespan, including transitions from early intervention to preschool, childhood to adolescence,
and adolescence to adulthood. b. Are selected in collaboration with the parents or guardians
of children with ASD or adults with ASD. c. Are delivered in inclusive environments, to the
extent practical. d. Are part of a coordinated system of care. (2) AUTISM SPECTRUM DISORDER
(ASD). ASD is a developmental disability that causes substantial impairments in social interaction
and communication and the presence of unusual behaviors and interests. Many people with ASD
have unusual ways of learning, paying attention, and reacting to different sensations. The
thinking and learning abilities of people with ASD can vary from...
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16-25A-8
Section 16-25A-8 Funding of health insurance plan; participation; Public Education Employees'
Health Insurance Fund. (a) The Public Education Employees' Health Insurance Board is hereby
authorized to provide under the contract or contracts entered into under the provisions of
this article an insurance benefit plan for each covered employee and, under certain conditions,
retired employees; the cost of such plan may be funded in part or in full through monthly
premiums per active employee from the same source of funds as those used for the payment of
salaries of active members and in part from other funds. (b) On or before January 1 next preceding
each regular meeting of the Legislature, the board shall certify to the Governor and to the
Legislature the amount or amounts necessary to fund coverage for benefits authorized by this
article for the following fiscal year for employees and for retired employees as a monthly
premium per active member per month. The Legislature shall set the...
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33-1-5.2
Section 33-1-5.2 Life and health insurance for certain salaried officers and employees of state
docks. (a) The Alabama State Port Authority is hereby authorized to provide and establish
a plan of life and health insurance for the salaried officers and employees of Alabama state
docks who work full time for the Alabama state docks and receive their compensation on a bi-weekly
basis and also a plan of health insurance for the spouses and dependent children of such officers
and employees and to pay the costs and premiums of such life and health insurance from the
revenues of the Alabama State Port Authority. (b) Such health insurance plan may provide for
group hospitalization, surgical, medical and dental insurance against the financial costs
of hospitalization, surgical, medical and dental treatment and care, and may also include,
among other things, prescribed drugs, medicines, prosthetic appliances, hospital in-patient
and out-patient service benefits, including major medical benefits,...
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27-56-5
Section 27-56-5 Third-party payment. (a) No insurance policy, plan, or contract providing for
third-party payment or prepayment of health or medical expenses that provides coverage for
eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy,
plan, or contract does the following: (1) Provides a covered person direct access to any eye
care provider participating in, or otherwise eligible to provide services under, the policy,
plan, or contract for all eye care services covered under the policy, plan, or contract, without
any referral or preapproval requirement, including, but not limited to, the following services,
if covered: a. Medical treatment of glaucoma. b. Postoperative eye care. (2) Ensures that
any list of medical or health care providers participating in, or otherwise eligible to provide
services under, the policy, plan, or contract includes eye care providers to the same extent
that such list includes other medical or health care...
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34-19-21
Section 34-19-21 Coverage or reimbursement for services not required. Nothing contained in
this chapter shall be construed to create a requirement that any health benefit plan, group
insurance plan, policy, or contract for health care services that covers hospital, medical,
or surgical expenses, 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 group health care services to patients, insureds, or beneficiaries in this state,
including entities created pursuant to Article 6, commencing with Section 10A-20-6.01, of
Chapter 20, Title 10A, provide coverage or reimbursement for the services described or authorized
in this chapter. (Act 2017-383, §4.)...
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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes to contributions;
withholding of employee's contribution; State Employees' Insurance Fund. (a) The board is
hereby authorized to provide under the provisions of this chapter that the employer's contribution
to the cost of such plan for coverage of the employee and retiree shall be paid by the employer.
(b) Each employee and retiree shall be entitled to have his or her spouse and dependent children,
as defined by the rules and regulations of the board, included in the coverage provided upon
agreeing to pay the employee's contribution of the health insurance premium for such dependents.
The board shall adopt regulations governing the discontinuance and resumption by such employees
and retirees of coverage for dependents. (c) Subject to Section 36-29-19.3, any further changes
in employee or retiree contribution to the health insurance premium or other out-of-pocket
expenses including, but not limited to,...
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27-21B-10
Section 27-21B-10 Enforcement of health care coverage for certain employers. (a) In any case
in which a noncustodial parent is required by a court or administrative order to provide health
care coverage for such child and the employer of the noncustodial parent is known to the Department
of Human Resources, the department shall use the federally required medical support notice
to provide notice to the employer of the requirement for employer-based health care coverage
for the child through the parent of the child who has been ordered to provide health care
coverage for the child unless a court or administrative order stipulates that alternative
health care coverage to employer-based coverage is to be provided for a child subject to a
Title IV-D child support order. In the case of an employer entered in the directory of new
hires pursuant to Section 25-11-5, the department shall send the federal medical support notice
to any employer of a noncustodial parent subject to the order within...
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