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22-21-294
Section 22-21-294 Certification of indigency; rules. Not later than October 1, 1979, the Department
of Human Resources shall adopt rules which provide a statewide eligibility standard to certify
residents of each county as indigent for the purposes of this article. These rules shall further
provide that certification as indigent for the purposes of this article may occur either prior
to a person's admission to a regional referral hospital, or subsequent to such admission for
an emergency condition, but in any event if a determination of whether a patient meets or
does not meet eligibility standards for certification as indigent for the purpose of this
article is not made within 90 days following written notification by the regional referral
hospital to the county of residence of the patient's admission to a regional referral hospital,
the patient shall be considered to have been a certified indigent patient upon admission.
A patient certified as indigent for the purpose of this article...
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22-21-297
Section 22-21-297 Certification necessary for treatment; exception. No patient shall be treated
or admitted to, except in the case of an emergency, to a regional referral hospital as an
indigent unless and until the board of county commissioners of the county providing certification
notifies the hospital that the patient is certified as an indigent and that he is approved
by the board for treatment or admission. (Acts 1979, No. 79-808, p. 1487, ยง8.)...
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22-21-293
Section 22-21-293 Financial responsibility for out-of-county indigent patients treated at a
regional referral hospital. Ultimate financial responsibility for treatment received at a
regional referral hospital by a certified indigent patient, who is a resident of the State
of Alabama but is not a resident of the county in which the regional referral hospital is
located, shall be the obligation of the county of which the certified indigent patient is
a resident. A county's annual financial responsibility for each of its resident certified
indigent patients receiving treatment at a regional referral hospital shall be limited to
payment for 30 days or the number of days of services allowed per annum for the care of Medicaid
patients through the State Medicaid Program at the time of the patient's hospitalization,
whichever shall be less, at the per diem reimbursement rate currently in effect for the regional
referral hospital under the medical assistance program for the needy under Title...
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22-5A-2
Section 22-5A-2 Definitions. For the purposes of this chapter, the following words shall have
the meanings ascribed to them by this section: (1) ADMINISTRATOR. Any person charged with
the general administration or supervision of a health care, domiciliary or residential facility
without regard to whether such person has an ownership interest in such facility or to whether
such person's functions and duties are shared with one or more other persons. (2) COMMUNITY
OMBUDSMAN. A person selected by an area agency on aging who is then trained and certified
as such by the commission pursuant to Section 22-5A-4. (3) DEPARTMENT. Department of Senior
Services. (4) HEALTH CARE FACILITY. Any skilled nursing facility, intermediate care facility,
domiciliary, boarding home facility or hospital now or hereafter subject to regulation or
licensure by the Bureau of Licensure and Certification of the State Department of Health or
a county department of health which provides any generally accepted facet...
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22-21-33
Section 22-21-33 Penalties for operation of or referring persons to unlicensed hospital. (a)(1)
Any individual, association, corporation, partnership, limited liability company, or other
business entity who operates or causes to be operated a hospital of any kind as defined in
this article or any rules promulgated hereunder, without having been granted a license by
the State Board of Health shall be guilty of a Class B misdemeanor upon conviction, except
that any individual, association, corporation, partnership, limited liability company, or
other business entity who operates or causes to be operated a hospital of any kind as defined
in this article or any rules promulgated hereunder without having been granted a license by
the State Board of Health shall be guilty of a Class A misdemeanor upon conviction of a second
or any subsequent offense. (2) The State Board of Health, upon determination that a facility
or business is operating as a hospital, within the meaning of this article or...
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22-6-153
Section 22-6-153 Contract to provide medical care to Medicaid beneficiaries; enrollment; grievance
procedures; duties of Medicaid Agency. (a) Subject to approval of the federal Centers for
Medicare and Medicaid Services, the Medicaid Agency shall enter into a contract in each Medicaid
region for at least one fully certified regional care organization to provide, pursuant to
a risk contract under which the Medicaid Agency makes a capitated payment, medical care to
Medicaid beneficiaries. However, the Medicaid Agency may enter into a contract pursuant to
this section only if, in the judgment of the Medicaid Agency, care of Medicaid beneficiaries
would be better, more efficient, and less costly than under the then existing care delivery
system. The Medicaid Agency may contract with more than one regional care organization in
a Medicaid region. Pursuant to the contract, the Medicaid Agency shall set capitation payments
for the regional care organization. (b) The Medicaid Agency shall...
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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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40-26B-70
Section 40-26B-70 Definitions. For purposes of this article, the following terms shall have
the following meanings: (1) ACCESS PAYMENT. A payment by the Medicaid program to an eligible
hospital for inpatient or outpatient hospital care, or both, provided to a Medicaid recipient.
(2) ALL PATIENT REFINED DIAGNOSIS-RELATED GROUP (APR-DRG). A statistical system of classifying
any non-Medicare inpatient stay into groups for the purposes of payment. (3) ALTERNATE CARE
PROVIDER. A contractor, other than a regional care organization, that agrees to provide a
comprehensive package of Medicaid benefits to Medicaid beneficiaries in a defined region of
the state pursuant to a risk contract. (4) CERTIFIED PUBLIC EXPENDITURE (CPE). A certification
in writing of the cost of providing medical care to Medicaid beneficiaries by publicly owned
hospitals and hospitals owned by a state agency or a state university plus the amount of uncompensated
care provided by publicly owned hospitals and hospitals...
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27-1-17.1
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a) As used
in this section, the following words shall have the following meanings: (1) ACH ELECTRONIC
FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability and
Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH CARE
PROVIDER. A physician as defined in Section 34-24-50.1; a dentist as defined in Section 34-9-1;
a chiropractor as defined in Section 34-24-120; an individual engaged in the practice of optometry
as defined in Section 34-22-1; other licensed health care professionals as defined in Title
34; a hospital as defined in Section 22-21-20; and a health care facility, or other provider
who or that is accredited, licensed, or certified and who or that is performing within the
scope of that accreditation, license, or certification. (3) HEALTH INSURANCE PLAN. Any hospital
and medical expense incurred policy, health maintenance...
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36-30-50
Section 36-30-50 Supplemental insurance coverage for firefighters with cancer. (a) For the
purposes of this section, the following terms shall have the following meanings: (1) CANCER.
Includes bladder, blood, brain, breast, cervical, esophageal, intestinal, kidney, lymphatic,
lung, prostate, rectum, respiratory tract, skin, testicular, and thyroid cancer, leukemia,
multiple myeloma, Hodgkin's lymphoma, and non-Hodgkin's lymphoma. (2) CAREER FIREFIGHTER.
Any person employed with the state, a county or municipal government, an airport authority,
or a fire district who has obtained certification as a firefighter through and as defined
by the Alabama Firefighters' Personnel Standards and Education Commission, or a firefighter
employed by the Alabama Forestry Commission who has been certified by the State Forester as
having met the wild land firefighter training standard of the National Wildfire Coordinating
Group, and is offered typical employment benefits, including health insurance...
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