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40-26B-21
Section 40-26B-21 Privilege assessment on nursing facilities. To provide further for the availability
of indigent health care, the operation of the Medicaid program, and the maintenance and expansion
of medical services: (a) There is levied and shall be collected a privilege assessment on
the business activities of every nursing facility in the State of Alabama. The privilege assessment
imposed is in addition to all other taxes and assessments, and shall be at the annual rate
of one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96) for each
bed in the nursing facility. Beginning September 1, 2020, the privilege assessment shall be
increased from one thousand eight hundred ninety-nine dollars and ninety-six cents ($1,899.96)
for each bed in the nursing facility, by an addition to the privilege assessment equal to
three hundred twenty-seven dollars and forty-eight cents ($327.48) per annum. The addition
to the privilege assessment shall be paid in equal monthly...
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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...
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27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every health
benefit plan that provides coverage for prescription drugs or devices, or administers a plan,
including, but not limited to, third party administrators for self-insured plans and state
administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds a
card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
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40-26B-20
Section 40-26B-20 Definitions. The following words, terms, and phrases shall have the following
meanings: (1) BED. Any bed that is licensed by the Alabama Department of Health and its successor
agency to provide nursing home care which is in a nursing facility. (2) DEPARTMENT. The Department
of Revenue of the State of Alabama. (3) FISCAL YEAR. An accounting period of 12 months beginning
on the first day of the first month of the state fiscal year. (4) MEDICAID PROGRAM. The medical
assistance program as established in Title XIX of the Social Security Act and as administered
in the State of Alabama by the Alabama Medicaid Agency pursuant to executive order and Title
560 of the Alabama Administrative Code. (5) NURSING FACILITY. An institution which is licensed
under the laws of the State of Alabama as a skilled nursing facility or an intermediate nursing
facility. Nursing facility shall not include any facility owned or operated by, or operating
under an exclusive contract with, the State...
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22-11C-7
Section 22-11C-7 Confidentiality; disclosure of information. (a) All information reported pursuant
to this chapter shall be confidential and privileged. (b) The State Health Officer shall take
strict measures to ensure that all identifying information is kept confidential, except as
otherwise provided in this chapter. (c) Head and spinal cord injury information may be provided
to researchers or research institutions, or both, in connection with head and/or spinal cord
injury morbidity and mortality studies upon appropriate review by the State Health Officer.
All identifying information regarding an individual patient, health care provider, or health
care facility contained in records of interviews, written reports, and statements procured
by the State Health Officer or by any other person, agency, or organization acting jointly
with the State Health Officer in connection with these studies shall be confidential and privileged
and shall be used solely for the purposes of the study....
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22-13-33
Section 22-13-33 Information to be confidential. (a) All information reported pursuant to this
article shall be confidential and privileged. (b) The State Health Officer shall take strict
measures to ensure that all identifying information is kept confidential, except as otherwise
provided in this article. (c) Cancer or benign brain-related tumor information may be provided
to researchers or research institutions, or both, in connection with cancer or benign brain-related
tumor morbidity and mortality studies upon appropriate review by the State Health Officer.
All identifying information regarding an individual patient, health care provider, or health
care facility contained in records of interviews, written reports, and statements procured
by the State Health Officer or by any other person, agency, or organization acting jointly
with the State Health Officer in connection with these studies shall be confidential and privileged
and shall be used solely for the purposes of the study....
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34-23-183
Section 34-23-183 Application. This article shall apply to any audit of the records of a pharmacy
conducted by a managed care company, nonprofit hospital or medical service organization, health
benefit plan, third-party payor, pharmacy benefit manager, a health program administered by
a department of the state, except the Alabama Medicaid Agency, or any entity that represents
those companies, groups, or department. (Act 2012-306, p. 668, §4; Act 2018-457, §1.)...
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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.)...
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29-2-106
Section 29-2-106 State Case Registry of Children in State Care. (a) The Department of Human
Resources, the Department of Mental Health, and the Department of Youth Services shall create
a joint project team to develop a requirements analysis and conceptual design for maintaining
a central repository of case information within 12 months of May 6, 1998, which shall be known
as the State Case Registry of Children in State Care and shall contain records with respect
to the following: (1) The number of children in state care. (2) The amount of funds expended
by federal, state, and local governments for maintenance payments on behalf of children in
state care. (3) The amount of funds expended by federal, state, and local governments for
payments on behalf of each child in state care and their natural parents or guardians. (4)
The types of services being offered to parents and their children in order to keep the family
together. (5) The number of children in foster care eligible for adoption,...
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40-26B-26
Section 40-26B-26 Reduction of revenues; reimbursement computations; quality incentive program.
THIS SECTION WAS AMENDED BY ACT 2020-147 IN THE 2020 REGULAR SESSION, EFFECTIVE MAY 18, 2020.
THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) No revenues resulting from the privilege assessment
established by this article and applied to increases in covered services or reimbursement
levels or other enhancements of the Medicaid program shall be subject to reduction or elimination
while the privilege assessment is in effect. (b) Every nursing facility participating in the
Medicaid program in the State of Alabama shall be reimbursed according to the reimbursement
methodology contained in Chapter 560-X-22 of the Alabama Medicaid Agency Administrative Code
(Supp. 12/31/95) on January 31, 1998, which methodology is incorporated by reference herein,
except that the following shall apply: (1) The ceiling for the operating cost center described
in Title 560-X-22-.06 (2)(a) of the Alabama Medicaid...
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