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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...
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16-25-43
Section 16-25-43 Persons in the Employees' Retirement System whose date of retirement is prior
to October 1, 1987 or beneficiaries of deceased members or retirees entitled to cost-of-living
increases - Additional adjustments. (a) In addition to the foregoing amount an additional
cost-of-living adjustment is provided effective October 1, 1989 as follows: (1) One dollar
per month for each year of service attained by said retiree for each retiree selecting the
maximum retirement allowance or Option 1. (2) One dollar per month for each year of service
attained by said retiree reduced by the retiree's option election factor for each retiree
selecting Options 2, 3 or 4. (3) One dollar per month for each year of service attained by
said deceased member or deceased retiree reduced by the survivor's option factor for each
beneficiary receiving monthly benefits from the Teachers' Retirement System. (b) The benefits
provided in this section are limited to those retirees and beneficiaries of...
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22-11A-63
Section 22-11A-63 Investigation by State Health Officer. (a) Upon notification of the existence
of an infected health care worker, the State Health Officer shall undertake an investigation
of the practice of the health care worker. In the investigation, the State Health Officer
shall seek advice of individuals and organizations deemed necessary. The investigation shall
determine if the infected health care worker performs invasive procedures. If the health care
worker is determined not to perform invasive procedures, no review panel shall be established,
no restrictions shall be placed on his or her practice, and all information obtained in the
investigation shall be confidential as provided for in Section 22-11A-69. If the infected
health care worker is determined to perform invasive procedures, the State Health Officer
shall cause an expert review panel to be formed. To the extent possible, the review shall
be conducted so that the identity of the health care worker shall not be...
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22-21-7
Section 22-21-7 Itemized statement of services rendered to be furnished patient upon request;
provisions of statement; itemization of services and expenses; action by Attorney General;
payment of claims by insurance companies. (a) For the purposes of this section, the term "hospital"
shall mean any hospital in which human patients are given medical care. It shall include all
emergency rooms or outpatient facilities connected thereto. (b) Within 10 days following discharge
or release from confinement in a hospital or nursing home, or within 10 days after the earliest
date at which the expense from the confinement or service may be determined, which in the
case of long-term confinement may be the monthly charge, the hospital or nursing home providing
the service shall submit to the patient, or to his survivor or legal guardian as may be appropriate,
upon written request, an itemized statement detailing in language comprehensible to an ordinary
layman the specific nature of charges or...
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22-6-226
Section 22-6-226 Review and approval of contracts; rules governing operation of integrated
care networks. (a) All provider contracts of an organization granted final certification as
an integrated care network shall be subject to review and approval of the Medicaid Agency.
(b)(1) If a provider is dissatisfied with any term or provision of the agreement or contract
offered by an integrated care network, the provider shall: a. Seek redress with the integrated
care network. In providing redress, an integrated care network shall afford the provider a
review by a panel composed of a representative of an integrated care network, the same type
of provider, and a representative of the citizens' advisory board appointed by the chair of
the advisory board. b. After seeking redress with an integrated care network, a provider or
an integrated care network who remains dissatisfied may request a review of such disputed
term or provision by the Medicaid Agency. The Medicaid Agency shall have 10 days...
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34-9-9
Section 34-9-9 Exercise of independent professional judgment by dentists; prohibited business
arrangements or relationships; penalties. (a) No person other than a dentist licensed pursuant
to this chapter or a 501(c)(3) entity registered under Section 34-9-7.2 may do any of the
following: (1) Employ a dentist or dental hygienist in the operation of a dental office. (2)
Place in the possession of a dentist, dental hygienist, or other agent such dental material
or equipment as may be necessary for the management of a dental office on the basis of a lease
or any other agreement for compensation for the use of such material, equipment, or offices.
(3) Retain the ownership or control of dental equipment, material, or office and make the
same available in any manner for the use of a dentist, dental hygienist, or other agent. (4)
The term "person," as used in this section, shall not in any way pertain to state,
county, municipal, or city institutions but shall be deemed to include any...
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36-36-6
Section 36-36-6 Sources of funding; use of assets; distributions; modification and termination
of trusts; taxation; financial statement. (a) The sources of funding to the Alabama Retired
State Employees' Health Care Trust may be: (1) appropriations made by the Legislature; (2)
contributions by employees and retired employees; (3) employer contributions; (4) investment
income; (5) proceeds of any gifts, grants, or contributions; (6) transfers from the State
Employees' Insurance Fund; and (7) all other sources permitted by law. (b) The sources of
funding to the Alabama Retired Education Employees' Health Care Trust may be: (1) appropriations
made by the Legislature; (2) contributions by employees and retired employees; (3) employer
contributions; (4) investment income; (5) proceeds of any gifts, grants, or contributions;
(6) transfers from the Public Education Employees' Health Insurance Fund; and (7) all other
sources permitted by law. (c) The agreements creating the trusts shall be...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-36-6.htm - 5K - Match Info - Similar pages
34-29-94
Section 34-29-94 Veterinary technician licensing requirements; authorized acts; unlicensed
assistants; emergency care; suspension, revocation of license; continuing education. (a) In
order to obtain a license as a veterinary technician, the applicant shall do all of the following:
(1) Submit a complete notarized application on a form prescribed by the board setting forth
that the applicant meets all of the following qualifications: a. At least 18 years of age.
b. Of good character. c. Has attained a competent school education and has received a diploma
in veterinary technology from an American Veterinary Medical Association accredited school,
or other school of veterinary technology approved by the board. (2) Submit an application
accompanied by an authenticated copy of the college transcript of the applicant signed by
the dean or the registrar of the school, college, or university. (3) Submit an application
accompanied by a photograph of reasonable likeness of the applicant taken...
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16-25-101
Section 16-25-101 Cost-of-living increase to members and beneficiaries of Employees' Retirement
System. (a) Commencing October 1, 1994, there is provided to certain persons identified in
subsection (b) of this section who are currently receiving benefits, whose effective date
of retirement was prior to October 1, 1994, for purposes of receiving benefits from the Employees'
Retirement System, and to certain beneficiaries of deceased members and deceased retirees
who are currently receiving survivor benefits if the effective date of retirement or death
for the deceased member or retiree was prior to October 1, 1994, for purposes of receiving
benefits from the Employees' Retirement System, a cost-of-living increase as follows: (1)
Two and one-half percent of the current gross benefit paid to the retiree and to certain beneficiaries
of deceased members and deceased retirees. (2) One dollar and fifty cents ($1.50) per month
for each year of service attained by the retiree for each retiree...
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16-25-111
Section 16-25-111 Cost-of-living increase to members and beneficiaries of Employees' Retirement
System. (a) Commencing October 1, 1996, there is provided to certain persons identified in
subsection (b) of this section who are currently receiving benefits, whose effective date
of retirement was prior to October 1, 1996, for purposes of receiving benefits from the Employees'
Retirement System, and to certain beneficiaries of deceased members and deceased retirees
who are currently receiving survivor benefits if the effective date of retirement or death
for the deceased member or retiree was prior to October 1, 1996, for purposes of receiving
benefits from the Employees' Retirement System shall receive a cost-of-living increase of
not less than twenty-five dollars ($25) per month and the increase shall be more if determined
as follows: (1) Two percent (2%) of the current gross benefit paid to the retiree and to certain
beneficiaries of deceased members and deceased retirees. (2) One...
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