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27-20-7
Section 27-20-7 Blanket disability insurance - Payment of benefits. All benefits under any
blanket disability policy shall be payable to the person insured, or to his employer, or to
his designated beneficiary or beneficiaries or to his estate; except, that if the person insured
be a minor or mental incompetent, such benefits may be made payable to his parent, guardian,
or other person actually supporting him, or, if the entire cost of the insurance has been
borne by the employer, such benefits may be made payable to the employer; provided, however,
that the policy may provide that all, or any portion, of any indemnities provided by such
policy on account of hospital, nursing, medical, or surgical services may, at the insurer's
option, be paid directly to the hospital or person rendering such services; but the policy
may not require that the service be rendered by a particular hospital or person. Payment so
made shall discharge the insurer's obligation with respect to the amount of...
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27-20A-1
Section 27-20A-1 Definitions. The following words and phrases used in this chapter, and others
evidently intended as the equivalent thereof, shall, in the absence of clear implication otherwise,
be given the following respective interpretations herein: (1) ALCOHOLISM. A chronic disorder
or illness in which the individual is unable, for psychological or physical reasons, or both,
to refrain from the frequent consumption of alcohol in quantities sufficient to produce intoxication
and, ultimately, injury to health and effective functioning. (2) DETOXIFICATION. Supervised
physical withdrawal from alcohol. (3) INPATIENT TREATMENT FOR ALCOHOLISM. Care provided in
a licensed hospital and is normally limited to detoxification where severe medical or psychiatric
complications are present or may be anticipated. (4) SHORT TERM RESIDENTIAL ALCOHOLISM TREATMENT
FACILITY. A state certified facility which provides structured programs of intensive treatment
services for people addicted to alcohol....
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27-56-5
Section 27-56-5 Third-party payment. (a) No insurance policy, plan, or contract providing for
third-party payment or prepayment of health or medical expenses that provides coverage for
eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy,
plan, or contract does the following: (1) Provides a covered person direct access to any eye
care provider participating in, or otherwise eligible to provide services under, the policy,
plan, or contract for all eye care services covered under the policy, plan, or contract, without
any referral or preapproval requirement, including, but not limited to, the following services,
if covered: a. Medical treatment of glaucoma. b. Postoperative eye care. (2) Ensures that
any list of medical or health care providers participating in, or otherwise eligible to provide
services under, the policy, plan, or contract includes eye care providers to the same extent
that such list includes other medical or health care...
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34-24-58
Section 34-24-58 Decisions, opinions, etc., of utilization review committee privileged. (a)
The decisions, opinions, actions and proceedings rendered, entered or acted upon in good faith
and without malice and on the basis of facts reasonably known or reasonably believed to exist
of any committee of physicians or surgeons, acting as a committee of the Medical Association
of the State of Alabama, or any state, county, or municipal medical association or society,
or as a committee of any licensed hospital or clinic, or the medical staff thereof, undertaken
or performed within the scope and function of such committee as legally defined herein shall
be privileged, and no member thereof shall be liable for such decision, opinion, action, or
proceeding. (b) Within the words and meaning of this section, a committee shall include one
formed or appointed as a utilization review committee, or similar committee, or committee
of similar purpose, to evaluate or review the diagnosis or treatment or...
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22-21-293
Section 22-21-293 Financial responsibility for out-of-county indigent patients treated at a
regional referral hospital. Ultimate financial responsibility for treatment received at a
regional referral hospital by a certified indigent patient, who is a resident of the State
of Alabama but is not a resident of the county in which the regional referral hospital is
located, shall be the obligation of the county of which the certified indigent patient is
a resident. A county's annual financial responsibility for each of its resident certified
indigent patients receiving treatment at a regional referral hospital shall be limited to
payment for 30 days or the number of days of services allowed per annum for the care of Medicaid
patients through the State Medicaid Program at the time of the patient's hospitalization,
whichever shall be less, at the per diem reimbursement rate currently in effect for the regional
referral hospital under the medical assistance program for the needy under Title...
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22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
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40-26B-60
Section 40-26B-60 Definitions. (a) For the purposes of this article the following words have
the following meanings unless the context clearly indicates otherwise: (1) DISPROPORTIONATE
SHARE HOSPITAL. A hospital meeting the requirements of Section 1923 of the Social Security
Act and other criteria adopted by the Alabama Medicaid Agency in its state plan for medical
assistance under Title XIX of the Social Security Act. (2) FISCAL YEAR. An accounting period
of 12 months beginning on the first day of the first month of the state fiscal year. (3) HOSPITAL.
A facility, which is licensed as a hospital under the laws of the State of Alabama, provides
24-hour nursing services, and is primarily engaged in providing, by or under the supervision
of doctors of medicine or osteopathy, inpatient services for the diagnosis, treatment, and
care or rehabilitation of persons who are sick, injured, or disabled. (4) PUBLICLY-OWNED HOSPITAL.
A hospital created and operating under the authority of a...
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6-5-481
Section 6-5-481 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) MEDICAL PRACTITIONER. Anyone
licensed to practice medicine or osteopathy in the State of Alabama, engaged in such practice,
including medical professional corporations, associations, and partnerships. (2) DENTAL PRACTITIONER.
Anyone licensed to practice dentistry in the State of Alabama, engaged in such practice, including
professional dental corporations, associations, and partnerships. (3) MEDICAL INSTITUTION.
Any licensed hospital, or any physician's or dentist's office or clinic containing facilities
for the examination, diagnosis, treatment, or care of human illnesses. (4) PROFESSIONAL CORPORATION.
Any medical or dental professional corporation or any medical or dental professional association.
(5) PHYSICIAN. Any person licensed to practice medicine in Alabama. (6) DENTIST. Any person
licensed to practice dentistry in...
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15-18-180
Section 15-18-180 Funding for community-based programs, facilities, services; user fees; inmate
wages. (a) Community punishment and corrections funds may be used to develop or expand the
range of community punishments and services at the local level. Community-based programs should
utilize evidence-based practices, as defined in Section 12-25-32, in the treatment and supervision
of program participants. The supervision and treatment of each program participant is expected
to be based on the participant's anticipated risk of reoffending, as determined through a
validated risk and needs assessment as defined in Section 12-25-32, administered by the program.
Supervision and treatment of program participants should include the following: (1) Use of
a validated risk and needs assessment; (2) Use of assessment results to provide guidance for
determining the appropriate level of supervision responses consistent with the levels of supervision
and evidence-based practices reasonably anticipated...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/15-18-180.htm - 5K - Match Info - Similar pages
22-18-1
Section 22-18-1 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) ADVANCED EMERGENCY MEDICAL
TECHNICIAN. Any person 18 years of age or older who satisfies all of the following: a. Has
successfully completed the advanced emergency medical technician course of instruction, or
its equivalent, as approved by the State Board of Health. b. Has passed the state Advanced
EMT examination, as well as having met the requirements for becoming a licensed emergency
medical technician. c. Has been granted a license by the State Board of Health. (2) ADVANCED
LIFE SUPPORT (ALS). The treatment of potentially life-threatening medical emergencies through
the use of invasive medical techniques specified as advanced life support techniques by the
Board of Health, which ordinarily would be performed or provided by licensed physicians, but
which may be performed by emergency medical service personnel during emergencies...
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