Alerts

Federal Rule Change for Prenatal Claims
Dec 3, 2018  -  The passage of the Bipartisan Budget Act of 2018 requires states to “cost avoid” claims for prenatal services when there is a known liable third party.
Preferred Drug List (PDL) Quarterly Update
Dec 3, 2018  -  The P&T Committee made an ad hoc recommendation during the November 7th meeting. The Committee recommended to follow the Centers for Disease Control and Prevention (CDC) statewide influenza epidemiology status for all available FDA-approved influenza antivirals (including Xofluza®) as soon as is possible to have the agents available for the upcoming flu season.
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.

Recent Alerts


Date 
Dec 3, 2018 Federal Rule Change for Prenatal Claims
Dec 3, 2018 Preferred Drug List (PDL) Quarterly Update
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
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