Alabama Administrative Code

(a) All full-time students in the medical schools of the State of Alabama, as well as members of the incoming freshman class of such schools, who are Alabama residents, shall be eligible for merit scholarships. No application shall be required. (b) Prospective recipients must mee…

(a) Merit Scholarships shall be awarded primarily on the basis of the student's scholastic achievement, medical aptitude, and character. All information available, which reflects upon such qualifications, shall be considered by the Board. (b) At the selection meeting, each Board …

Each merit scholarship shall be in the amount of up to $5,000.00 per annum and shall be renewable for a maximum of four years, for a maximum total of $20,000.00. All merit scholarship, and renewals thereof, shall be contingent upon funds being available. Author: Wayne P. Turner N…

Each merit scholar must remain in the upper twenty percent of his or her class in order for the scholarship to be renewed. The Executive Committee shall review the status of all scholarship recipients at the end of each academic year in order to determine whether or not the schol…

(a) A number of loans equal to up to twenty (20%) percent of the students enrolled in the medical schools and physician assistant programs in the State of Alabama shall be awarded each year. All loans shall be contingent on the funds being available. (b) All full-time students en…

(a) Loans shall be made contingent upon the applicant's agreement in writing to practice in a rural area in a generalist specialty as determined by the Board. (b) Board Members shall have the privilege of examining all applications and any other pertinent information provided by …

Loans shall be automatically renewed for a total of four (4) years for medical students and three (3) years for physician assistant students, contingent upon funds being available, provided, however, each recipient shall execute a new contract each year and shall certify, annuall…

Each loan shall be in an amount of not more than the average cost of tuition, fees and living expenses, as set forth in the current catalog of the University of Alabama School of Medicine, the University of South Alabama College of Medicine, or an accredited training program in A…

Unless loans are to be repaid with service, under the provisions of these rules, the following shall apply: (a) Loan recipients shall be required to repay loans under the terms and conditions of the written agreement entered into by such recipients. (b) Any recipient who fails fo…

A loan recipient may apply to the Board for approval to repay his or her loan with service, and such application may be granted by the Board subject to the following: (a) Each application to repay with service must be approved by the Board based upon the facts and circumstances o…

Any incorporated or unincorporated municipality, county, or locality in the State having a population of less than 15,000, desiring additional physicians and/or physician assistants and wishing to be designated as a locality needing additional physicians and/or physician assistan…

If the Board of Medical Scholarship Awards determines that a locality is in need of physicians and/or physician assistants, it shall place the locality on a list of localities in need of physicians and/or physician assistants. Recipients of loans may, upon graduation, select an a…

The Board shall apply, annually, to the Alabama Legislature for funding in such amount as it deems necessary and appropriate. Author: Wayne P. Turner Notes Ala. Admin. Code r. 550-X-6-.01 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November …

The Board may solicit contributions from any sources which it deems appropriate. Author: Wayne P. Turner Notes Ala. Admin. Code r. 550-X-6-.02 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed and New Rule: Filed May 16…

The Board may solicit contributions from localities in need of additional physicians or physician assistants. Such localities may stipulate that such contribution shall be contingent upon a physician's or physician assistant's agreement to practice in such locality. Notes Ala. Ad…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.01 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.02 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.03 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.04 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.05 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-7-.06 New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §§ 41-22-3; 41-22-4.

Author: Board of Medical Scholarship Awards Notes Ala. Admin. Code r. 550-X-8-.01 Filed September 28, 1982. Repealed and New Rule: Filed October 13, 1994; effective November 17, 1994. Repealed: Filed May 16, 2006; effective June 20, 2006. Statutory Authority: Code of Ala. 1975, §…

The Board has the authority to engage the University of Alabama in Birmingham to equip and maintain an office for the administration of the Alabama Medical Scholarship Loan Program on the UAB campus. The cost of equipping and maintaining this office shall not exceed the amount es…

(1) Under this agreement the University of Alabama in Birmingham will:(a) provide and maintain office space in a convenient location. (b) provide all office equipment and supplies. (c) employ necessary personnel to carry out the duties of the office. (d) pay all meeting expenses.…

The Alabama Medicaid Agency (hereinafter referred to as "Medicaid") administers the State Plan for Medical Assistance under Title XIX of the Social Security Act (hereinafter referred to as "State Plan") which provides payment for authorized medical services and supplies available…

The legal authorities under which the Medicaid Program is operated are: (1) Title XIX of the Social Security Act as amended. (2) 42 C.F.R. §§ 430, et seq. (3) 45 C.F.R. §§ 205, et seq. (4) Alabama Executive Order No. 8, dated June 30, 1967; Executive Order No. 32, dated February …

The Alabama Medicaid Agency administers the State Medicaid Program as directed by the Governor. The Head of the Agency is the Commissioner, who serves at the pleasure of the Governor. Notes Ala. Admin. Code r. 560-X-1-.03 Rule effective October 1, 1982. Author: Statutory Authorit…

(See Chapter 25 for detailed eligibility criteria.) Applicants eligible for Medicaid services are certified to the Alabama Medicaid Agency by the following agencies: (1) The Social Security Administration certifies aged, blind, and disabled applicants for the Federal Supplemental…

The Bureau of Licensure and Certification, Alabama Department of Public Health, is responsible, through agreement with Medicaid, for licensing hospitals, skilled and intermediate care nursing facilities, and certain other health related facilities for participation in the Medicai…

(1) The Alabama Medicaid Agency contracts with a fiscal agent to process and pay all claims submitted by providers of medical care, services, and equipment authorized under the Alabama Title XIX State Plan. (2) The fiscal agent will provide current detailed claims processing proc…

(1) In accordance with federal law, Medicaid providers shall ensure that no person will, on the grounds of race, color, creed, national origin, age or handicap, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program of se…

(1) Free choice of selecting providers of health care is a legal right of every recipient of Medicaid care and services. Freedom of choice related to an individual' sopport unity to make his/her own decisions for his/her own reasons, free from the arbitrary authority of others, i…

(1) The identification number of Medicaid eligible recipients contains 13 digits. The first three will be "500" or "530". (2) The Medicaid identification number will be embossed on a plastic Medicaid eligibility card issued to each individual entitled to Medicaid. (3) Providers s…

(1) All providers participating in the Alabama Medicaid Program are assigned an identification number by the Alabama Medicaid Agency fiscal agent. (2) Providers must be licensed to practice in the state in which the service is rendered. (3) Providers must have a National Provider…

Individuals certified eligible for Medicaid will receive a plastic Medicaid Card through the mail with the following exceptions: certain unborns; recipients certified with a pseudo number; Medicare Savings Programs other than "QMB; and recipients certified for a closed period of …

(1) When a recipient is notified by the Social Security Administration that he/she is no longer eligible for Supplemental Security Income, Medicaid will send a termination notice unless he/she remains eligible for Medicaid under Alabama criteria. A recipient shall be notified at …

(1) Direct payments are made for allowable charges to providers for covered medical services and supplies furnished eligible Medicaid recipients. Providers who wish to participate in the Alabama Medicaid Program must be enrolled, receive a provider number, and sign a contract wit…

Medicaid pays the monthly premiums for Medicare insurance for an eligible Medicare/Medicaid and/or QMB recipient to the Social Security Administration. Medicaid also pays the applicable Medicare Part A and Part B deductibles and/or coinsurance for an eligible Medicare/Medicaid an…

(1) Medical care and services provided outside the State of Alabama for Alabama Medicaid recipients are covered services if and only if such services are covered when rendered in-state and are medically necessary. (a) Medical care and services which require prior authorization fo…

(1) For each of the several categories of Medicaid covered services there may be state imposed limitations on frequency, amount, type, or kinds of services for which Medicaid will pay. Additional information concerning covered services limitation is found in the program chapters …

(1) Providers of services and supplies shall submit claims electronically. (2) Instructions concerning claim forms completion and processing procedures are contained in the provider manual(s) posted to the Alabama Medicaid website. (3) Time limits for Claim Submission. (a) Medica…

(1) Definitions (a) Designee: Any person who can sign on behalf of the recipient. The Designee must indicate his/her relationship to the recipient next to his/her signature (e.g. spouse, power of attorney, authorized representative, etc.). The Designee's signature must be legible…

(1) State and municipal gross sales taxes within Alabama are not to be included in charges for Medicaid covered services, medical supplies and equipment. (2) Alabama law exempts from any state gross sales taxes all medicines prescribed by physicians when the prescription is fille…

Consent for health services for certain minors, and others, will be governed by Code of Ala. 1975, Title 22, Chapter 8. Notes Ala. Admin. Code r. 560-X-1-.20 Rule effective October 1, 1982. Author: Statutory Authority: Code of Ala. 1975, §§ 22-8-1, et seq.

(1) Alabama Medicaid providers shall keep detailed records in Alabama, except as provided in subparagraph (5), Rule 560-X-16-.02, that will fully disclose the extent and cost of services, equipment, or supplies furnished eligible recipients. These records will be retained for a p…

(1) When the State of Alabama is under a state of emergency proclamation, it may be necessary, in order to protect the public health and welfare of the citizens of Alabama, for the Medicaid Agency to implement procedures that will contradict, and therefore supersede, promulgated …

(1) All payments shall be subject to the availability of appropriated funds for the Alabama Medicaid Program. (2) Notwithstanding anything in this code to the contrary, in the event of proration of state funds available to the Alabama Medicaid Program, payment for Medicaid benefi…

(1) The Alabama Medicaid Agency will normally enroll providers of covered services and issue provider contracts to new provider applicants who meet the requirements of the Code of Federal Regulations, the licensure and/or certification requirements of the State of Alabama, and th…

(1) Medicaid recipients are required to pay the designated copayment amount for the following services (including Medicare crossovers): (a) Physician office visits (including optometric) (b) Inpatient hospital admissions (c) Outpatient hospital visits (d) Rural health clinic visi…

When a medical benefit is a noncovered service under the Alabama Medicaid Program, all ancillary charges related to delivery of that benefit are also considered non covered. Notes Ala. Admin. Code r. 560-X-1-.26 Rule effective February 20, 1986. Author: Harriette M. Worthington S…