To:  Outpatient Hospitals

Hospitals designated as 340-B entities

Effective for claims submitted on October 1, 2012, and after, hospitals designated as 340-B entities may bill ‘total charges’ on the UB-04 claim form when billing for outpatient pharmacy charges. 

Hospital-Based Clinics

Effective for dates of service on or after October 1, 2012, Medicaid will allow revenue code 51X, clinic, to be billed with evaluation and management procedure codes 99201-99215.  Only one visit per day will be allowed. 

If you have any questions, please contact Jerri Jackson via e-mail at jerri.jackson@medicaid.alabama.gov or phone at 334-242-5630.