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27-1-19
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or dental
plan beneficiary may assign reimbursement for health or dental care services directly to the
provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic,
optometric, durable medical equipment, and home care services. The company or agency, when
authorized by the insured, or health or dental plan beneficiary, shall pay directly to the
health care provider the amount of the claim, under the same criteria and payment schedule
that would have been reimbursed directly to the contract provider, and any applicable interest.
This amount only applies to assigned claims. Any company or agency making a payment to the
insured, or health or dental plan beneficiary, after the rights of reimbursement have been
assigned to the provider of services, shall be liable to the provider for the payment. If
the company or agency fails to reimburse the provider in accordance with the terms...
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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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41-9-351
Section 41-9-351 Commission may provide for insurance for properties and employees. (a) The
commission may provide insurance covering loss or damage to its properties or any properties
of others in its custody, care, or control or any properties as to which it has any insurable
interest caused by fire or other casualty and may likewise provide insurance for the payment
of damages on account of the injury or death of persons and the loss or destruction
of properties of others, and may pay the premiums out of the revenues of the commission. Nothing
in this section shall be construed to authorize or permit the institution of any civil action
or proceeding in any court against the commission for or on account of any matter referred
to in this section. Any contracts of insurance authorized by this section may, in the discretion
of the chair of the commission, provide for a direct right of action against the insurance
carrier for the enforcement of any claims or causes of action. (b) The...
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9-10-4
Section 9-10-4 Election of officers; board meetings; records and copies of board proceedings;
exercise of corporate powers; compensation of board members. Upon completion of the membership
of the board of directors and incorporation as provided in this article, the board members
shall meet in an organizational session at the place of its main office and elect a chairman,
vice-chairman, a secretary and a treasurer, but the office of secretary and treasurer may
be held by the same person. The board shall set a regular time and place for its meetings,
and a majority of its members shall constitute a quorum for the transaction of its business.
All proceedings of the board shall be reduced to writing by the secretary of the corporation
and recorded in a well-bound book. Copies of such proceedings, when certified by the secretary
of the corporation, shall be received in all courts as evidence of the matters and things
therein certified. All powers of the corporation shall be exercised by the...
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12-21-160
Section 12-21-160 Expert witnesses. (a) Generally. If scientific, technical, or other specialized
knowledge will assist the trier of fact to understand the evidence or to determine a fact
in issue, a witness qualified as an expert by knowledge, skill, experience, training, or education,
may testify thereto in the form of an opinion or otherwise. (b) Scientific evidence. In addition
to requirements set forth in subsection (a), expert testimony based on a scientific theory,
principle, methodology, or procedure is only admissible if: (1) The testimony is based on
sufficient facts or data, (2) The testimony is the product of reliable principles and methods,
and (3) The witness has applied the principles and methods reliably to the facts of the case.
(c) Nothing in this section shall modify, amend, or supersede any provisions of the Alabama
Medical Liability Act of 1987 and the Alabama Medical Liability Act of 1996, commencing with
Section 6-5-540, et seq., or any judicial interpretation...
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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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26-10A-34
Section 26-10A-34 Payments to parent for placing minor for adoption; maternity expenses; receipt
of financial benefits by father. (a) It shall be a Class A misdemeanor for any person or agency
to offer to pay money or anything of value to a parent for the placement for adoption, for
the consent to an adoption, or for cooperation in the completion of an adoption of his or
her minor. It shall be a Class C felony for any person or agency to pay money or anything
of value to a parent for the placement of a child for adoption, for the consent to an adoption,
or for cooperation in the completion of an adoption of his or her minor. This section does
not make it unlawful to pay the maternity-connected medical or hospital and necessary living
expenses of the mother preceding and during pregnancy-related incapacity as an act of charity,
as long as the payment is not contingent upon placement of the minor for adoption, consent
to the adoption, or cooperation in the completion of the adoption. (b)...
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34-18-47
Section 34-18-47 Compensation and expenses; fund for enforcement of chapter. The secretary-treasurer
shall receive a salary commensurate with the duties performed, to be fixed by the board; and
each member of the board shall be reimbursed for all expenses necessarily incurred in attending
meetings of the board. All fees collected by the board shall be placed to the credit of a
fund which is hereby appropriated solely for the use of the board in the execution of an enforcement
of the provisions of this chapter, and the payment of salaries, expenses, and other costs
herein provided for; provided, that no part of the cost and expense shall be paid out of the
treasury. Any funds remaining on hand after the payment of costs and expenses as in this chapter
provided may be used by the board for the purpose of elevating the standards of schools of
training for medical technicians and of promoting the educational and professional standards
of medical technicians and of medical technology in...
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34-24-313
Section 34-24-313 Employment of investigators, agents, etc., to assist commission; assistance
of prosecuting attorneys; consultants. (a) The State Board of Medical Examiners may employ
investigators, attorneys, agents, and any other employees and assistants or use any other
means necessary to aid the commission in bringing about and maintaining a rigid administration
and enforcement of this article, and the board may incur reasonable, necessary, and proper
expenses for assisting the commission and for implementing this article and all laws regulating
the practice of medicine or osteopathy within the State of Alabama. The commission and the
board may request assistance from the Attorney General, district attorneys, or other prosecuting
attorneys of this state in the various circuits and counties. All prosecuting attorneys throughout
the state shall assist the commission or the board, upon request of either, in any action
for injunction or any prosecution without charge or additional...
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44-1-24
Section 44-1-24 Powers and duties of department generally. The Department of Youth Services
shall perform the following: (1) Provide services for youths who have run away from their
own communities in this state or from their home communities in other states to this state,
and provide such services, care, or cost for the youths as may be required pursuant to the
provisions of the Interstate Compact on Juveniles. (2) Provide for the expansion of local
detention care for youths alleged to be delinquent pending court hearing. (3) Secure the provision
of medical, hospital, psychiatric, surgical, or dental service, or payment of the cost of
such services, as may be needed for committed youths. (4) License and subsidize foster care
facilities or group homes for youths alleged to be delinquent pending hearing before a juvenile
court or adjudged delinquent following hearing, including detention, examination, study, care,
treatment, and training. (5) Establish, maintain, and subsidize programs...
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