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22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) 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. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
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27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
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40-26B-3
Section 40-26B-3 Payment and collection of tax; appropriation of funds and use by Alabama Medicaid
Agency. (a) The taxes imposed by this article shall be due and payable to the department on
or before the twentieth day of the month next succeeding the month in which the tax accrues,
and shall, when collected, be paid by the department into the State Treasury. Payment by United
States mail will be timely if mailed in accordance with Section 40-1-45. When paid into the
State Treasury, all such taxes shall be deposited to the credit of the Alabama Health Care
Trust Fund. (b) The receipts from the tax levied in this article shall be solely available
for appropriation by the Alabama Legislature to the Alabama Medicaid Agency for use by said
agency in accomplishing the purposes of this article. Provided, however, for the first fiscal
year in which this article is effective, to defray its expenses, including salaries and costs
of operation incident to the collection of this tax, there is...
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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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21-3A-4
Section 21-3A-4 Composition; appointment and duties of members. (a) For the purposes of implementing
this chapter, the Governor shall appoint the Interagency Coordinating Council. The council
shall consist of not less than 15 members nor more than the number allowed by regulation.
(b) The Governor shall designate a member of the council to serve as the chair, or shall require
the council to designate a member to serve as the chair. (c) The council shall be composed
as follows: (1) At least 20 percent of the members shall be parents, including minority parents,
of infants and toddlers with disabilities or children with disabilities aged 12 or younger.
At least one member shall be a parent of an infant or toddler with a disability or a child
with a disability aged 6 or younger. (2) At least 20 percent of the members shall be public
or private providers of early intervention services. (3) One representative from the Alabama
Legislature. (4) One person involved in personnel preparation....
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22-5B-2
Section 22-5B-2 Legislative findings. (a) The legislative findings, purpose, and intent of
this chapter are to develop the infrastructure for a statewide network of lifespan respite
programs in Alabama and for Alabama Respite to be the statewide entity to address issues relating
to respite care in our state. (b) The Alabama Legislature makes the following findings: (1)
Respite is short term temporary relief that can make a world of difference for family caregivers
of both children and adults with disabilities and other health care needs. (2) Respite is
one of the home and community-based services most requested by family caregivers, yet remains
in short supply. (3) As of 2012, over 818,000 adults in Alabama are caregivers for a family
member. (4) Respite helps preserve families by reducing stress, supporting stability, preventing
situations that can lead to abuse and neglect, and reducing the incidence of divorce and out-of-home
placement. (5) Respite is a simple, cost-effective...
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22-5B-5
Section 22-5B-5 Alabama Lifespan Respite Coalition. (a) There is created the Alabama Lifespan
Respite Coalition composed of members who shall be culturally, economically, and geographically
diverse and representative of the state demographics and appointed by the Governor or his
or her designee. The membership may include, but is not limited to, the following: (1) The
Chair of the House Ways and Means Committee on Education. (2) The Chair of the Senate Judiciary
Committee. (3) The Chair of the House of Representatives Health Committee. (4) The Chair of
the Senate Health Committee. (5) A member from the Governor's Office on Disability. (6) A
member from the Department of Senior Services. (7) A member from the Department of Medicaid.
(8) A member from the Department of Rehabilitation Services. (9) A member from the Department
of Human Resources. (10) A member from the Alabama Health Department. (11) A member from the
Department of Child Abuse and Neglect Prevention. (12) A member from...
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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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45-11-171
Section 45-11-171 Board of Health fees. (a)(1) The Board of Health of Chilton County may fix
a schedule of fees which shall cover a portion of the cost involved in the performance of
services rendered pursuant to the duties, functions, and programs required by law or by regulation
or of the county or State Board of Health. Any fee schedule fixed pursuant to this section
shall be effective upon approval of the County Commission of Chilton County, Alabama. (2)
Such fee schedule shall be reviewed annually by the commission which shall make appropriate
adjustments as it deems they are needed. (b) The Chilton County Board of Health is hereby
authorized to promulgate rules and regulations necessary and proper for the administration
of this section. Such regulations shall include, but not be limited to, the furnishing of
services without charge to indigent residents, or persons of the county, and matters pertaining
to payment of the fee for personal health services, permits, and inspections....
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45-37-171.44
Section 45-37-171.44 Ability to pay fees; increase in costs and fees; funding. No person shall
be denied any service because that person, or if a minor, the parent or legal guardian of
such person, is unable to pay the fee for such service established pursuant to this subpart.
The determination of a person's ability to pay shall be made in confidence and under circumstances
that will protect the dignity of the person receiving the service. Using any appropriate standards
of ability to pay for health care provided by the United States Government or any agency thereof,
the Jefferson County Board of Health may establish a sliding fee scale based on a person's
ability to pay. Any provision of this subpart to the contrary notwithstanding, this subpart
shall not be interpreted or applied to authorize any increase in the fees, if any, that any
person may be required to pay for any examination, treatment, vaccination, inoculation, or
other health care service of any kind that, as of September...
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