|
27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-17.htm - 17K - Match Info - Similar pages
21-3A-3
Section 21-3A-3 Definitions. The following words and phrases used in this chapter have the
following respective meanings unless the context clearly indicates otherwise: (1) COUNCIL.
The Interagency Coordinating Council as established in Section 21-3A-4. (2) EARLY INTERVENTION
SERVICES. Any developmental services that: a. Are provided under public supervision. b. Are
designed to meet the developmental needs of each eligible child and the needs of the family
related to enhancing the development of the child. c. Are selected in collaboration with the
parents. d. Are provided by qualified personnel as determined by the personnel standards of
the state, the standards of the early intervention program, and the regulations. e. Are provided
in conformity with an individualized family service plan. f. Meet the requirements of Public
Law 99-457 as amended (20 U.S.C. ยงยง1471 to 1485, inclusive), and the early intervention
standards of the State of Alabama. g. Are provided, to the extent...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/21-3A-3.htm - 6K - Match Info - Similar pages
20-1-33
Section 20-1-33 Food safety permit. (a) No person shall operate a food sales establishment
within this state which sells baby food, infant formula, or potentially hazardous food without
a food safety permit except those persons who operate any of the following establishments:
(1) A meat processing establishment which currently has a grant of inspection from the commissioner.
(2) A meat processing establishment which currently has a grant of inspection from the United
States Department of Agriculture. (3) A food service establishment required to obtain a food
service permit through the Alabama Department of Public Health except those operated in conjunction
with a food sales establishment otherwise requiring a permit. (b) Application shall be made
to the department each year for a food safety permit on forms requiring information to be
submitted and at the times required by the department. (c) Each application shall be accompanied
by a food safety permit fee in the amount of fifty...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/20-1-33.htm - 3K - Match Info - Similar pages
22-5A-4
Section 22-5A-4 Selection of community ombudsmen; training; certification; duties; area plan
to describe program; notification of department as to prospective ombudsmen; advisory committee
on program. (a) Each area agency on aging funded by the department shall select at least one
community ombudsman in each planning and service area established according to regulations
issued pursuant to the Older Americans Act of 1965, as amended. The community ombudsman shall
be an employee or contractual employee of the area agency on aging and shall certify to having
no association with any health care facility or provider for reward or profit. (b) The duties
of each community ombudsman shall be as follows: (1) To receive, investigate, respond to,
and attempt informally to resolve complaints made by or on behalf of recipients; (2) To report
immediately instances of fraud, abuse, neglect, or exploitation to the department of pensions
and security for investigation and follow-up pursuant to Chapter...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5A-4.htm - 4K - Match Info - Similar pages
24-4A-2
Section 24-4A-2 Definitions. As used in this chapter, the following terms shall have the meanings
ascribed to them by this section: (1) COMMISSION. The Alabama Manufactured Housing Commission.
(2) APPROVED. Conforming to the recognized codes and regulatory requirements adopted by the
commission. (3) APPROVED INSPECTION AGENCY. An organization meeting the commission's requirements
to provide inspection of manufactured buildings and to insure compliance with national recognized
codes, and rules and regulations adopted by the commission pursuant to this chapter. (4) LOCAL
GOVERNMENT. A city or county government. (5) MANUFACTURE. The process of making, fabricating,
constructing, forming or assembling a product from raw, unfinished or semifinished materials.
(6) INSTALL. The assembly of a manufactured building, components of manufactured building
on site and the process of affixing a manufactured building to land, a foundation, footings
or an existing building and service connections which...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/24-4A-2.htm - 4K - Match Info - Similar pages
6-12A-3
Section 6-12A-3 Tobacco product manufacturer certification; directory; stamping, sale, or import
of cigarettes not in directory. (a) Certification. Every tobacco product manufacturer whose
cigarettes are sold in this state whether directly or through a distributor, retailer, or
similar intermediary or intermediaries shall execute and deliver on a form prescribed by the
commissioner, a certification to the commissioner no later than the thirtieth day of April
each year, certifying that, as of the date of the certification, the tobacco product manufacturer
either: Is a participating manufacturer or is in full compliance with Section 6-12-3, including
all quarterly installment payments required by subsection (e) of Section 6-12A-5. (1) Each
participating manufacturer shall include in its certification a list of its brand families.
The participating manufacturer shall update its list 30 days prior to any addition or modification
to its brand families by executing and delivering a...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-12A-3.htm - 8K - Match Info - Similar pages
12-5A-9
Section 12-5A-9 Participation of eligible employees in Employees' Retirement System; creditable
service; formal leave accounting system; inclusion in health insurance plan. (a) Class specifications
and rates of compensation for employees covered by this chapter, juvenile probation officers,
juvenile probation professional staff, and clerical staff, hereafter called "eligible
employees," and any future employees occupying those positions shall be established by
the Administrative Director of Courts. Notwithstanding the foregoing, the compensation of
any employee shall not be diminished as a result of his or her inclusion in the state court
system personnel system. (b) Eligible employees included in the state court system personnel
system pursuant to this chapter shall, on October 1 of the year their county transitions,
be covered by the Employees' Retirement System. An employee who on that date is participating
in a local retirement plan other than a unit administered by the Employees'...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/12-5A-9.htm - 11K - Match Info - Similar pages
22-21-260
Section 22-21-260 Definitions. As used in this article, the following words and terms, and
the plurals thereof, shall have the meanings ascribed to them in this section, unless otherwise
required by their respective context: (1) ACQUISITION. Obtaining the legal equitable title
to a freehold or leasehold estate or otherwise obtaining the substantial benefit of such titles
or estates, whether by purchase, lease, loan or suffrage, gift, devise, legacy, settlement
of a trust or means whatever, and shall include any act of acquisition. The term "acquisition"
shall not mean or include any conveyance, or creation of any lien or security interest by
mortgage, deed of trust, security agreement, or similar financing instrument, nor shall it
mean or include any transfer of title or rights as a result of the foreclosure, or conveyance
or transfer in lieu of the foreclosure, of any such mortgage, deed of trust, security agreement,
or similar financing instrument, nor shall it mean or include any...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-260.htm - 11K - Match Info - Similar pages
22-21-275
Section 22-21-275 Procedures for review of applications for certificates of need. The SHPDA,
pursuant to the provisions of Section 22-21-274, shall prescribe by rules and regulations
the procedures for review of applications for certificates of need and for issuance of certificates
of need. Rules and regulations governing review procedures shall include, but not necessarily
be limited to, the following: (1) Agreement with other review agencies for review procedures
consistent with this article and federal regulations. (2) Application procedures and forms
of the application necessary to elicit and provide all necessary information as required by
the review criteria. (3) Establishment of a project review period of 90 days from the date
the state agency determines that the application is complete and notification thereof is made
to the applicant. The rules and regulations may provide for a period of not more than 15 days
for determination of the completeness of the application,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-275.htm - 10K - Match Info - Similar pages
36-32-3
Section 36-32-3 Officers; powers and duties; compensation; expenditures and revenues; education
and training; facilities. (a) The commission shall elect a chairman and a vice-chairman from
among its members at the first regular quarterly meeting of the calendar year. (b) The commission
may do all of the following: (1) Organize the Alabama Fire College by appointing an executive
director, assistant directors, and such officers as the interest of the Alabama Fire College
may require. (2) Remove the executive director or any assistant or other officer. (3) Fix,
increase, or reduce the compensation of the executive director or any assistant or other officer.
(4) Institute, regulate, alter, or modify the government of the Alabama Fire College as the
commission may deem advisable. (5) Prescribe courses of instruction related to the mission
of the Alabama Fire College. (6) Establish the cost of any prescribed course of study related
to the mission of the Alabama Fire College. (7) Confer...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-32-3.htm - 5K - Match Info - Similar pages
|