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34-8A-3
Section 34-8A-3 Construction and application of chapter. (a) Nothing in this chapter shall
be construed to apply to any of the following: (1) The activities, services, and use of an
official title on the part of a person employed as a counselor by any federal, state, county,
or municipal agency; public or private educational institution; medical personnel in a clinic
or hospital that is certified by the Alabama Department of Public Health or any successor
to such department or that is accredited by the Joint Commission on Accreditation of Health
Care Organizations or any successor to such commission; law practice; or licensed private
employment agencies, provided such persons are performing counseling or counseling-related
activities within the scope of their employment. (2) The activities and services of a student,
intern, or trainee in counseling pursuing a course of study in counseling in a regionally
accredited institution of higher learning or training institution, if these...
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22-6-153
Section 22-6-153 Contract to provide medical care to Medicaid beneficiaries; enrollment; grievance
procedures; duties of Medicaid Agency. (a) Subject to approval of the federal Centers for
Medicare and Medicaid Services, the Medicaid Agency shall enter into a contract in each Medicaid
region for at least one fully certified regional care organization to provide, pursuant to
a risk contract under which the Medicaid Agency makes a capitated payment, medical care to
Medicaid beneficiaries. However, the Medicaid Agency may enter into a contract pursuant to
this section only if, in the judgment of the Medicaid Agency, care of Medicaid beneficiaries
would be better, more efficient, and less costly than under the then existing care delivery
system. The Medicaid Agency may contract with more than one regional care organization in
a Medicaid region. Pursuant to the contract, the Medicaid Agency shall set capitation payments
for the regional care organization. (b) The Medicaid Agency shall...
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34-21-1
with a multistate license that allows the practice of nursing as a registered nurse or licensed
practical nurse in any state participating in the Enhanced Nurse Licensure Compact. (9) PRACTICE
OF PROFESSIONAL AND PRACTICAL NURSING. Nursing is a profession the practice of which is defined
as: a. Practice of Professional Nursing. The performance, for compensation, of any act in
the care and counselling of persons or in the promotion and maintenance of health and prevention
of illness and injury based upon the nursing process which includes systematic data
gathering, assessment, appropriate nursing judgment and evaluation of human responses to actual
or potential health problems through such services as case finding, health teaching, and health
counselling; and provision of care supportive to or restorative of life and well-being, and
executing medical regimens including administering medications and treatments prescribed by
a licensed or otherwise legally authorized physician or...
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34-9-7
Section 34-9-7 Exemption of certain practices and operations. (a) Nothing in this chapter shall
apply to the following practices, acts, and operations: (1) The practice of his or her profession
by a physician or surgeon holding a certificate of qualification as a medical doctor and licensed
as such under the laws of this state, provided he or she shall not practice dentistry as a
specialty. (2) The practice of dentistry in the discharge of their official duties by graduate
dentists or dental surgeons in the United States Army, Navy, Air Force, or other armed services,
public health service including, but not limited to, a federally qualified health center authorized
and operating under Section 330 of the Public Health Service Act (42 U.S.C. ยง 254B), provided,
however, that such federally qualified health centers shall register pursuant to Section 34-9-7.2
(provided further however, dentists, dental hygienists, and other personnel employed by any
public health service which performs...
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38-7-2
Section 38-7-2 Definitions. Terms used in this chapter, unless the context otherwise requires,
have the meanings ascribed to them in this section. When not inconsistent with the context,
words used in the present tense include the future, words in the singular number include the
plural number, and words in the plural number include the singular number, and the word "shall"
is always mandatory and not merely directory: (1) CHILD. Any person under 19 years of age,
a person under the continuing jurisdiction of the juvenile court pursuant to Section 12-15-117,
or a person under 21 years of age in foster care as defined by the Department of Human Resources.
(2) CHILD-CARE INSTITUTION or INSTITUTION FOR CHILD CARE. A child-care facility where more
than 10 children are received and maintained for the purpose of providing them with care or
training or both, or transitional living program services, but does not include: a. Any institution
for child care which is under the ownership or control,...
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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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14-14-4
Section 14-14-4 Establishment of furlough program. (a) The department shall establish a medical
furlough program. The commissioner shall adopt the rules and regulations for implementation
of the medical furlough program. For each person considered for medical furlough, the commissioner
shall determine whether the person is a geriatric inmate, permanently incapacitated inmate,
or terminally ill inmate. (b) Notwithstanding any other law to the contrary, an inmate who
has not served his or her minimum sentence shall be considered eligible for consideration
for furlough under this chapter. (c) This chapter shall not apply to inmates convicted of
capital murder or a sexual offense. (d) Medical furlough consideration shall be in addition
to any other release for which an inmate may be eligible. (e) The commissioner shall determine
the conditions of release of any inmate pursuant to this chapter, including the appropriate
level of supervision of the inmate, and shall develop a discharge plan...
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22-56-2
Section 22-56-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) CONSUMER. A person who receives or uses mental health services. (2) DEPARTMENT.
The Alabama Department of Mental Health. (3) FAMILY MEMBER. A person within the immediate
family or a legal guardian of a mental health consumer. (4) MENTAL HEALTH SERVICES. Services
designed to treat or deal with persons with mental illness. (5) MENTAL ILLNESS. A psychiatric
disorder of thought or mood, or both, which significantly impairs judgment, behavior, capacity
to recognize reality, or ability to cope with the ordinary demands of life. "Mental illness"
as used herein specifically excludes the primary diagnoses of epilepsy, intellectual disability,
substance abuse including alcoholism, or a developmental disability, or any combination thereof.
(6) PROGRAM. A program for providing mental health services. (7) PROVIDER. Any agency, corporation,
or individual who provides inpatient,...
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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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34-23-11
Section 34-23-11 Physicians, dentists, registered nurses, etc., exempt from chapter. (a) Nothing
contained in this chapter shall prevent any licensed practitioner of the healing arts from
personally compounding, dispensing, administering, or supplying to his or her patient drugs
and medicines for their use. This chapter shall not apply to the manufacture or sale at wholesale
or retail of patent or proprietary medicines as purchased from a manufacturer or wholesaler,
or to the manufacture or sale at wholesale or retail of packaged, bottled, or nonbulk chemicals,
medicines, medical and dental supplies, cosmetics, and dietary foods when identified by and
sold under a trademark, trade name, or other trade symbol, privately owned or registered in
the United States Patent Office, sold or offered to be sold to the general public, if the
article meets the requirements of the Federal Food, Drug, and Cosmetic Act other than prescription
legend drugs. (b) A registered nurse in the employment of...
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