Public Posting of Prior Authorization Metrics – CMS Interoperability and Prior Authorization Final Rule
Apr 13, 2026 - Effective March 31, 2026, the Alabama Medicaid Agency (Medicaid) will begin publishing Prior Authorization (PA) metrics on the public website in accordance with the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F).
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DME Quarterly Updates
Apr 2, 2026 - Updates to the following DME policies are effective April 1,2026:
1. Cranial Orthosis coverage
2. Enclosed beds
3. Coverage for procedure codes A7507 and A7508
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Preferred Drug List (PDL) and Pharmacy Quarterly Update
Mar 5, 2026 - Effective April 1, 2026, the Alabama Medicaid Agency (Medicaid) will remove the Dispense as Written (DAW) Code of 9 from Adderall XR, Toujeo, and Xarelto, update the PDL to reflect the quarterly updates, and add Journavx as preferred on the PDL with clinical criteria.
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Changes to Applied Behavior Analysis Service Location Criteria
Mar 4, 2026 - Effective February 24, 2026, to enroll as an Alabama Medicaid Applied Behavior Analysis Provider (Provider Type: 17) the service location must be a physical facility. The physical facility must also have visible signage bearing the name of the business.
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