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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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27-14-11.1
27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization
administering health or casualty insurance plans for professional associations, unions, fraternal
groups, employer-employee benefit plans, and any similar organization offering these payments
or services, including self-insured and self-funded plans. (4) Any health insurer, including
group health plans, as defined in Section 607(1) of the Employee Retirement Income Security
Act of 1974, self-insured plans, service benefit plans, managed care...
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22-6-6
Section 22-6-6 Subrogation of state to rights of recipients of medical assistance under program
against persons, etc., causing injury, etc., thereto; manner of enforcement of rights
of state; effect of action by state or recipient against person, etc., causing injury,
etc., upon rights of other; provision of written notice, etc., by recipients instituting civil
actions for damages. (a) If medical assistance is provided to a recipient under the Alabama
Medicaid Program for injuries, disease or sickness caused under circumstances creating a cause
of action in favor of the recipient against any person, firm or corporation, then the State
of Alabama shall be subrogated to such recipient's rights and shall be entitled to recover
the proceeds that may result from the exercise of any rights of recovery which the recipient
may have against any such person, firm or corporation to the extent of the actual amount of
the medical assistance payments made by the Alabama Medicaid Program. The...
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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) 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
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
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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-70
Section 40-26B-70 Definitions. For purposes of this article, the following terms shall have
the following meanings: (1) ACCESS PAYMENT. A payment by the Medicaid program to an eligible
hospital for inpatient or outpatient hospital care, or both, provided to a Medicaid recipient.
(2) ALL PATIENT REFINED DIAGNOSIS-RELATED GROUP (APR-DRG). A statistical system of classifying
any non-Medicare inpatient stay into groups for the purposes of payment. (3) 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. (4) CERTIFIED PUBLIC EXPENDITURE (CPE). A certification
in writing of the cost of providing medical care to Medicaid beneficiaries by publicly owned
hospitals and hospitals owned by a state agency or a state university plus the amount of uncompensated
care provided by publicly owned hospitals and hospitals...
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13A-9-150
improperly charted, coded, or billed for any medical or health care service, common practices,
including but not limited to, repayment, even years later, may use as a defense to, or ground
for dismissal of, a prosecution under this section. (i) The introduction into evidence of
a paid state warrant to the order of the defendant is prima facie evidence that the defendant
did receive public assistance from the state. (j) The introduction into evidence of a transaction
history generated by a personal identification number (PIN) establishing a purchase
or withdrawal by electronic benefit transfer is prima facie evidence that the identified recipient
received public assistance from the state. (k)(1) If an original record is admissible in any
case or proceeding in a court in the state, a certified copy of the record in the custody
of any federal or state agency relating to an investigation of public assistance fraud under
this section shall be admissible when certified and affirmed by the...
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31-9-40
the exchange of medical, fire, police, reconnaissance, welfare, transportation and communications
personnel, and equipment and supplies. Article VIII - Compensation. Each party shall provide
for the payment of compensation and death benefits to injured members of the emergency forces
of that state and representatives of deceased members of the forces in case members sustain
injuries or are killed while rendering aid pursuant to this compact, in the same manner and
on the same terms as if the injury or death were sustained within their own state.
Article IX - Reimbursement. Any party state rendering aid in another state pursuant to this
compact shall be reimbursed by the party state receiving the aid for any loss or damage to
or expense incurred in the operation of any equipment and the provision of any service in
answering a request for aid and for the costs incurred in connection with such requests. Any
aiding party state may assume in whole or in part loss, damage, expense, or other...
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22-19-161
assistant by the State Board of Medical Examiners to remove or process a part. (35) "Technician"
means an individual determined to be qualified to remove or process parts by an appropriate
organization that is licensed, accredited, or regulated under federal or state law. The term
includes an enucleator. (36) "Tissue" means a portion of the human body other than
an organ or an eye. The term does not include blood unless the blood is donated for the purpose
of research or education. (37) "Tissue bank" means a person that is licensed, accredited,
or regulated under federal or state law to engage in the recovery, screening, testing, processing,
storage, or distribution of tissue. (38) "Transplant hospital" means a hospital
that furnishes organ transplants and other medical and surgical specialty services required
for the care of transplant patients. (39) "Will" means a disposition of real and
personal property to take effect after the death of a testator. (Act 2008-453, p. 867,
ยง1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-19-161.htm - 7K - Match Info - Similar pages
16-33B-4
Loan Law. No obligation of ACHE for purposes of the loan program or for losses on student loans
resulting from death, default, bankruptcy, or total or permanent disability of the student
borrowers shall ever (i) create an obligation or a debt of the State of Alabama or any agency
or political subdivision thereof other than ACHE or a charge against the credit or taxing
powers of the state or any agency or political subdivision thereof other than ACHE, or (ii)
create or give rise to any personal liability of any of the commissioners or officers
of ACHE, but shall be payable solely from the ACHE "Student Loan Program Fund".
(13) To enter into contracts, agreements or covenants with, to accept aid, loans and grants
from, to cooperate with, to make loan servicing arrangements and other management arrangements
with, and to do any and all things not specifically prohibited by this chapter or other applicable
laws of the state that may be necessary in order for ACHE to avail itself of...
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