Alerts

Opioid Refill Threshold Increase
Nov 6, 2018  -  Effective November 26, 2018, Alabama Medicaid will increase the refill tolerance threshold for both agonist and partial agonist opioids from 75% to 85% of the original days’ supply.
Individual AMHP Enrollment Requirements
Sep 25, 2018  -  Beginning April 1, 2019, LPCs, ALCs, LMFTs, LMSWs and LICSWs must be an individually enrolled Medicaid provider and file claims using their own NPI number.
Short-Acting Opioid Naïve Limits
Sep 25, 2018  -  Effective November 1, 2018, the Alabama Medicaid Agency will begin implementing limits on short-acting opiates for opioid naïve recipients. The Agency defines “opioid naïve” as a recipient with no opioid claim in the past 180 days.
Preferred Drug List (PDL) Quarterly Update
Sep 4, 2018  -  Effective October 1, 2018, the Alabama Medicaid Agency will include preferred insulins in the mandatory three-month maintenance supply program.

Recent Alerts


Date 
Nov 6, 2018 Opioid Refill Threshold Increase
Sep 25, 2018 Individual AMHP Enrollment Requirements
Sep 25, 2018 Short-Acting Opioid Naïve Limits
Sep 4, 2018 Preferred Drug List (PDL) Quarterly Update
Aug 21, 2018 Synagis® Criteria for 2018 – 2019 Season
Jul 13, 2018 Secure Web Portal Cipher Protocol Changes
Jul 3, 2018 Face-to-Face Rule Change
Jun 28, 2018 Preferred Drug List (PDL) Quarterly Update
Jun 13, 2018 Infant/Early Childhood Mental Health Landscape Survey
Jun 5, 2018 Preferred Drug List (PDL) Quarterly Update
May 9, 2018 New Procedures Added to All-Inclusive Encounter Rate
Apr 20, 2018 New Durable Medical Equipment (DME) Fee Schedule
Apr 20, 2018 271 Eligibility response change
Mar 19, 2018 RE: Cardiology and Radiology Prior Authorization Program Update
Mar 16, 2018 New Requirements for Fee-For-Service Delivery Claims
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