Administrative Code

The Alabama Medicaid Administrative Code is a set of rules that dictate how the Medicaid agency is administered. The Code is divided into parts, chapters and rules that outline policy and procedures for all aspects of Medicaid services.

Proposed Agency Rules

Administrative Code - Effective 11/28/17
Chapter Number Title
1 General - Updated 10/24/16
2 Assuring High Quality Care - Updated 3/8/11
3 Fair Hearings - Updated 6/13/13
4 Program Integrity Division
5 Psychiatric Facilities for Individuals 65 or Older - Updated 8/28/17
6 Physicians - Updated 2/25/16
7 Hospitals - Updated 3/28/16
8 Independent Rural Health Clinic Services - Updated 2/22/11
9 Independent Laboratory
10 Long Term Care - Updated 12/4/17
11 Early and Periodic Screening, Diagnosis and Treatment for Individuals Under 21 - Updated 11/13/17
12 Home Health - Updated 3/27/17
13 Supplies, Appliances and Durable Equipment - Updated 7/24/17
14 Family Planning - Updated 6/16/14
15 Dental Services - Updated 1/15/09
16 Pharmacy Services - Updated 10/16/15
17 Eye Care Services - Updated 6/13/13
18 Transportation Services - Updated 9/15/10
19 Hearing Services
20 Third Party - Updated 2/13/15
21 Nurse Midwife Program
22 Nursing Facility Reimbursement
23 Hospital Reimbursement Program - Updated 3/28/16
24 End Stage Renal Disease Program
25 Medicaid Eligibility - Updated 7/16/15
26 Rules of Practice Before the Agency - Updated 4/20/15
27 Confidential Materials
28 Forms Used by the Agency - Updated 6/15/12
29 Definitions of Terms Used in the Rules - Updated 2/20/07
30 Emergency Rule Procedures
31 Declaratory Rulings
32 Rules Adopted by Reference
33 Recoupments and Liens - Updated 1/25/16
34 Independent Radiology Services - Updated 3/18/10
35 Home and Community-Based Waiver for Persons with Intellectual Disabilities - Updated 8/28/17
36 Home and Community-Based Services for the Elderly and Disabled - Updated 7/17/12
37 Managed Care - Updated 1/13/14
38 Ambulatory Surgical Center Services
39 Extracorporeal Shock Wave Lithotripsy (ESWL)
40 Optional Targeted Case Management - Updated 4/28/17 - Emergency Rule 560-X-40-.02 begins on page 10
41 Psychiatric Facilities for Individuals Under 21 - Updated 10/1/15
42 ICF/IID Reimbursement
43 Prenatal Services
44 Home and Community-Based Services for the Alabama Community Transition (ACT) Waiver - Updated 7/17/12
45 Maternity Care Program - Updated 5/15/15
46 Swing Beds - Updated 12/17/13
47 Rehabilitative Services - Updated 12/28/15
48 Federally Qualified Health Centers - Updated 2/22/11
49 Certified Nurse Practitioner Program - Updated 1/14/11
50 Preventive Health Education
51 Hospice Care - Updated 4/20/15
52 Home and Community-Based Living at Home (LH) Waiver for Persons with Intellectual Disabilities - Updated 8/28/17
53 Programs of All-Inclusive Care for the Elderly (PACE) - Updated 6/13/13
54 ER Home and Community-Based Services for Individuals Under the Technology Assisted (TA) Waiver for Adults
55 Perinatal Coordinators
56 Federally Qualified Health Center Reimbursement - Updated 1/15/09
57 Home and Community-Based Services for the State of Alabama Independent Living (SAIL) Waiver - Updated 4/24/12
58 Home and Community-Based Services for Individuals Diagnosed with HIV/AIDS and Related Illnesses - Updated 7/17/12
59 Provider-Based Rural Health Program - Updated 2/22/11
60 Provider-Based Rural Health Clinic Reimbursement - Updated 1/15/09
61 Children's Specialty Clinic Services - Updated 9/19/06
62 Regional Care Organizations - Updated 6/26/17
63 Ventilator Dependent and Qualified Tracheostomy Care - Updated 1/16/15
64 Integrated Care Networks - Updated 11/28/17