22-6-231
Section 22-6-231 Implementation of article. (a) The following timeline applies to implementation
of this article: (1) Not later than April 1, 2017, the Medicaid Agency shall establish integrated
care network rules setting forth solvency, governing board, network, and active supervision
requirements, as well as other requirements of the Medicaid Agency. (2) Not later than April
1, 2018, Medicaid Agency will initiate competitive procurement for the services of integrated
care network or networks. (3) Not later than October 1, 2018, one or more integrated care
networks certified by the Medicaid Agency shall begin to deliver services pursuant to a risk
bearing contract. (Act 2015-322, §13.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-231.htm - 1K - Match Info - Similar pages

22-6-165
Section 22-6-165 Regional care organizations exempt from certain license fees. Any provision
of law to the contrary notwithstanding, regional care organizations, as defined in Section
22-6-150, are exempt from the payment of any and all state, county, and municipal license
fees, including any business privilege or license tax heretofore or hereafter levied by the
State of Alabama or any county or municipality of the state. The exemptions provided by this
section shall not extend to the individual health care providers who are members of the regional
care organization. (Act 2015-349, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-165.htm - 911 bytes - Match Info - Similar pages

22-11B-1
Section 22-11B-1 Health care providers upon request required to give immunization status of
patients. (a) Notwithstanding any of the confidentiality provisions in Chapter 11A of this
title, or any other provisions of law, every public and private health care provider shall,
upon request of the persons or entities herein identified, provide information concerning
the immunization status of any patient in accordance with rules promulgated by the State Board
of Health to the following persons and entities: (1) Other public and private health care
providers. (2) Health care insurers of all descriptions. (3) The Alabama Medicaid Agency.
(4) Individuals and organizations with a need to verify the immunization status of persons
in their care, custody, or enrollment, including but not limited to, the chief executive officer,
or a designee of the officer, of a public or private day care center, school, or postsecondary
educational institution. (b) The authorization granted pursuant to this...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11B-1.htm - 1K - Match Info - Similar pages

22-6-6.1
Section 22-6-6.1 Assignment to state of recipients' rights to payments for medical care; authorization
to release needed information. (a) Every recipient of medical assistance under the Alabama
Medicaid Program shall be deemed to have made assignment to the State of Alabama of any and
all rights of his to medical support or payments for medical care from any person, firm or
corporation, together with the rights of any other individuals eligible for medical assistance
for whom he can legally make assignment. This assignment shall be effective to the extent
of the amount of medical assistance actually paid by the Medicaid Agency. The recipient shall
cooperate fully with the Medicaid Agency in its efforts to secure such rights, and shall execute
and deliver all instruments and papers needed by the Medicaid Agency in this regard. (b) Every
recipient of medical assistance under the Alabama Medicaid Program shall be deemed to have
authorized all third parties, including insurance companies...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-6.1.htm - 1K - Match Info - Similar pages

41-22-20
Section 41-22-20 Judicial review of preliminary, procedural, etc., actions or rulings and final
decisions in contested cases. (a) A person who has exhausted all administrative remedies available
within the agency, other than rehearing, and who is aggrieved by a final decision in a contested
case is entitled to judicial review under this chapter. A preliminary, procedural, or intermediate
agency action or ruling is immediately reviewable if review of the final agency decision would
not provide an adequate remedy. (b) All proceedings for review may be instituted by filing
of notice of appeal or review and a cost bond with the agency to cover the reasonable costs
of preparing the transcript of the proceeding under review, unless waived by the agency or
the court on a showing of substantial hardship. A petition shall be filed either in the Circuit
Court of Montgomery County or in the circuit court of the county in which the agency maintains
its headquarters, or unless otherwise...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/41-22-20.htm - 11K - Match Info - Similar pages

27-21A-4
Section 27-21A-4 Powers of health maintenance organizations. (a) The powers of a health maintenance
organization include, but are not limited to the following: (1) The purchase, lease, construction,
renovation, operation, or maintenance of hospitals, medical facilities, or both, and their
ancillary equipment; (2) The making of loans other than in the ordinary course of business,
to providers under contract with it in furtherance of its program or the making of loans to
a corporation or corporations in which it owns a majority interest for the purpose of acquiring
or constructing medical facilities and hospitals or in furtherance of a program providing
health care services to enrollees. (3) The furnishing of health care services through providers
which are under contract with or employed by the health maintenance organization. (4) The
contracting with any person for the performance on its behalf of certain functions such as
marketing, enrollment, and administration. (5) The purchase,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-21A-4.htm - 2K - Match Info - Similar pages

40-26B-2
Section 40-26B-2 Privilege tax upon providers of pharmaceutical services; exceptions. To provide
further for the availability of indigent health care, the operation of the Medicaid Program
and the maintenance and expansion of medical services thereunder, there is hereby levied and
shall be collected as provided in this article a privilege tax on the business activities
of every provider of pharmaceutical services to the citizens of Alabama, except for a pharmacy,
or portion thereof, serving hospital inpatients or pharmacies owned or operated by the State
of Alabama or an agency thereof. The privilege tax imposed by this article is in addition
to all other taxes of any kind now imposed by law, and shall be at the rate of 10 cents for
each prescription filled or refilled for a citizen of Alabama. (Acts 1991, No. 91-124, p.
148, §2; Act 2002-414, p. 1058, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-2.htm - 1K - Match Info - Similar pages

22-11B-2
Section 22-11B-2 Immunization registry. Pursuant to and in furtherance of the purposes of this
chapter, the State Board of Health is authorized to create and maintain an immunization registry.
The immunization registry is the central collection of data and reports concerning a vaccine
dose or doses administered to a person by a provider. The nature of the immunization information
contained in this registry shall be determined by rule of the State Board of Health and shall
be obtained from clinic records, billing data and information, and vital or any other records
owned and controlled by the State Board of Health and the Alabama Medicaid Agency. Medical
insurers and public and private providers are authorized and encouraged to provide information
to the registry. (Acts 1995, No. 95-530, p. 1075, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11B-2.htm - 1K - Match Info - Similar pages

22-6-120
Section 22-6-120 Legislative findings. The Legislature finds the following: (1) The availability
of appropriate pharmaceutical benefits to every Alabama citizen is a critical component to
the overall health of its population. (2) Alabama should strive to provide appropriate, safe,
effective, and cost-efficient pharmaceutical care to those who depend on health benefits through
state funded programs. (3) The Alabama Medicaid Agency should endeavor to manage the Medicaid
Pharmacy Program utilizing clinical management tools in a manner to foster optimal health
outcomes at reasonable costs. (4) State Medicaid programs and private insurance plans across
the country utilize preferred drug lists as an effective way to foster and encourage clinically
appropriate and safe use of pharmaceuticals in a cost-effective manner. (5) Based on the proven
effectiveness of preferred drug programs to foster appropriate use of drugs, it is in the
best interests of Alabama and its citizens for the Alabama...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-120.htm - 1K - Match Info - Similar pages

27-56-8
Section 27-56-8 Implementation of coverage. (a) Any insurance policy, plan, or contract that
provides coverage for eye care services may contain provisions for maximum benefits and coinsurance
limitations, deductibles, exclusions, and utilization review protocols to the extent that
these provisions are not inconsistent with the requirements of this chapter. (b) If eye care
coverage is provided, the eye care benefits for services provided by optometrists within the
scope of their licenses shall be subject to the same annual deductible or coinsurance established
for all other eye care providers for which coverage is provided. (Act 2001-477, p. 640, §8.)...

alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-56-8.htm - 975 bytes - Match Info - Similar pages