|
27-3A-5
Section 27-3A-5 Standards for utilization review agents. (a) Except as provided in subsection
(b), all utilization review agents shall meet the following minimum standards: (1) Notification
of a determination by the utilization review agent shall be mailed or otherwise communicated
to the provider of record or the enrollee or other appropriate individual within two business
days of the receipt of the request for determination and the receipt of all information necessary
to complete the review. (2) Any determination by a utilization review agent as to the necessity
or appropriateness of an admission, service, or procedure shall be reviewed by a physician
or determined in accordance with standards or guidelines approved by a physician. (3) Any
notification of determination not to certify an admission, service, or procedure shall include
the principal reason for the determination and the procedures to initiate an appeal of the
determination. (4) Utilization review agents shall maintain...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-3A-5.htm - 4K - Match Info - Similar pages
22-18-50
Section 22-18-50 Enactment and text of Emergency Medical Services Personnel Licensure Interstate
Compact. The Emergency Medical Services Personnel Licensure Interstate Compact is hereby enacted
into law and entered into with all other jurisdictions legally joining therein in form substantially
as follows: SECTION 1. PURPOSE In order to protect the public through verification of competency
and ensure accountability for patient care related activities all states license emergency
medical services (EMS) personnel, such as emergency medical technicians (EMTs), advanced EMTs
and paramedics. This Compact is intended to facilitate the day to day movement of EMS personnel
across state boundaries in the performance of their EMS duties as assigned by an appropriate
authority and authorize state EMS offices to afford immediate legal recognition to EMS personnel
licensed in a member state. This Compact recognizes that states have a vested interest in
protecting the public's health and safety...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-18-50.htm - 41K - Match Info - Similar pages
22-8A-8
Section 22-8A-8 Refusal of health care provider to comply; penalties. (a) A health care provider
who refuses to comply with a living will or the directions of a duly designated proxy or a
duly appointed surrogate or who refuses to honor a portable physician DNAR order executed
in compliance with the directives of this chapter and using the form designated by the State
Board of Health pursuant to this chapter shall promptly so advise the declarant and any individual
designated to act for the declarant, shall not be liable for such refusal, but shall permit
the patient to be transferred to another health care provider. Such health care provider shall
reasonably cooperate to assist the declarant, or any individual designated to act for the
declarant, in the timely transfer of the declarant to another health care provider that will
follow the directions of the portable physician DNAR order, living will, health care proxy,
or surrogate. During the time for the transfer, all life-sustaining...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-8A-8.htm - 3K - Match Info - Similar pages
22-11A-38
Section 22-11A-38 Notification of third parties of disease; rules; who may be notified; liability;
confidentiality; disclosure of information for certain criminal proceedings; penalty. (a)
The State Committee of Public Health is hereby authorized to establish the rules by which
exceptions may be made to the confidentiality provisions of this article and establish rules
for notification of third parties of such disease when exposure is indicated or a threat to
the health and welfare of others. All notifications authorized by this section shall be within
the rules established pursuant to this subsection. (b) Physicians and hospital administrators
or their designee may notify pre-hospital transport agencies and emergency medical personnel
of a patient's contagious condition. In case of a death in which there was a known contagious
disease, the physician or hospital administrator or their designee may notify the funeral
home director. (c) The attending physician or the State Health Officer...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-11A-38.htm - 5K - Match Info - Similar pages
22-8B-6
Section 22-8B-6 Construction of chapter. Nothing in this chapter shall be construed to prohibit
a physician or health care provider from doing any of the following: (1) Participating in
the execution of a person sentenced by a court to death by any means recognized by Alabama
law. (2) Following a patient's wishes or health care proxy's instructions to withhold or withdraw
life-sustaining treatment or artificially provided nutritional hydration. (3) Prescribing
and administering palliative care or pain medication treatment options intended to relieve
pain while the illness or condition of the patient follows its natural course. (4) Following
the wishes or instructions of an individual which are made in compliance with Chapter 8A.
(Act 2017-231, ยง6.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-8B-6.htm - 1K - Match Info - Similar pages
27-1-20
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and may be cited
as the "Patient Right to Know Act." (b) As used in this section, unless the context
clearly indicates otherwise, the following words shall have the following meanings: (1) ENROLLEE.
A person who purchases individual health care coverage or an employer who purchases a group
health care plan. (2) PROVIDER. A physician, dentist, podiatrist, pharmacist, optometrist,
psychologist, clinical social worker, advanced nurse practitioner, registered optician, licensed
professional counselor, physical therapist, and chiropractor. (c)(1) All persons, firms, corporations,
associations, health maintenance organizations, health insurance services, or preferred provider
organizations, any employer-sponsored health benefit plan, or any similar organization or
entity, providing health, accident, or dental insurance coverage, either directly or indirectly,
shall provide an enrollee with a written description of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-20.htm - 3K - Match Info - Similar pages
27-48-3
Section 27-48-3 Prohibition against plan termination of services, reduction of capitation payment,
or other penalty for health care provider in compliance with chapter; prohibition against
financial encouragement of early discharge from postpartum care. No health benefit plan subject
to the provisions of this chapter shall terminate the services, reduce capitation payment,
or otherwise penalize an attending physician, certified nurse midwife, or other health care
provider who orders medical care consistent with this chapter. No health benefit plan shall
provide, directly or indirectly, any financial incentive or disincentive or grant or deny
any special favor or advantage of any kind or nature to any person to encourage or cause early
discharge of a hospital patient from postpartum care, excluding capitation or global fee arrangements.
Provided nothing contained in this chapter is intended to expand the list or designation of
covered providers as specified in any health benefit plan or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-48-3.htm - 1K - Match Info - Similar pages
22-21B-3
Section 22-21B-3 Definitions. The following words and terms shall have the meanings ascribed
to them in this section, unless otherwise required by their respective context: (1) CONSCIENCE.
The religious, moral, or ethical principles held by a health care provider. (2) DISCRIMINATION.
Discrimination includes, but is not limited to: Hiring, termination, refusal of staff privileges,
refusal of board certification, demotion, loss of career specialty, reduction of wages or
benefits, adverse treatment in the terms and conditions of employment, refusal to award any
grant, contract, or other program, or refusal to provide residency training opportunities.
(3) HEALTH CARE PROVIDER. Any individual who may be asked to participate in any way in a health
care service, including, but not limited to: A physician, physician's assistant, nurse, nurse's
aide, medical assistant, hospital employee, clinic employee, nursing home employee, pharmacist,
researcher, medical or nursing school faculty, student,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21B-3.htm - 3K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-54A-2.htm - 10K - Match Info - Similar pages
34-24-210.1
Section 34-24-210.1 Evaluation and treatment by physical therapist. (a) Without prescription
or referral, a licensed physical therapist may perform an initial evaluation or consultation
of a screening nature to determine the need for physical therapy and may perform the physical
therapy and other services provided in subdivisions (1) to (5), inclusive, of subsection (b).
Implementation of physical therapy shall otherwise be based on the referral of a person licensed
to practice medicine, surgery, dentistry, chiropractic, licensed assistant to a physician
acting pursuant to a valid supervising agreement, or a licensed certified registered nurse
practitioner in a valid collaborative practice agreement with a licensed physician. (b) The
physical therapy and other services referred to in subsection (a), which may be performed
without prescription or referral, include and are limited to the following: (1) To a child
with a diagnosed developmental disability pursuant to the plan of care for...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-24-210.1.htm - 2K - Match Info - Similar pages
|