ALERTs

Changes to Digital Upload of Supporting Documentation
Apr 11, 2024  -  Effective April 15, 2024, Administrative Review (Dental ONLY) form type will be added to the dropdown on the Digital Upload form located on the Provider Secure Web Portal.
Coverage Addition for Practitioners (CRNPs and PAs)
Apr 11, 2024  -  Effective for dates of service on or after April 1, 2024, the Alabama Medicaid Agency (Medicaid) has updated the claims processing system to allow practitioners (CRNPs and PAs) to file claims for non-operative orthopedic fracture treatments in an office setting using the procedure codes listed below:
Enhancement to Dental Administrative Review of Claims Process
Apr 11, 2024  -  Effective April 15, 2024, Dental providers who wish to submit denied dental claims for Administrative Review may begin using the Dental Administrative Review Form from the Forms menu on the Alabama Medicaid Interactive Web Portal.
FQHC and RHC Licensed Marriage and Family Therapists (LMFT) and Licensed Professional Counselors (LPC) Enrollment and Billing Information
Apr 8, 2024  -  Effective January 1, 2024, Licensed Marriage and Family Therapists (LMFT) and Licensed Professional Counselors (LPC) may now enroll with the Alabama Medicaid Agency (Medicaid) and provide Behavioral Health services in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

Recent ALERTs


Date 
Apr 11, 2024 Changes to Digital Upload of Supporting Documentation
Apr 11, 2024 Coverage Addition for Practitioners (CRNPs and PAs)
Apr 11, 2024 Enhancement to Dental Administrative Review of Claims Process
Apr 8, 2024 FQHC and RHC Licensed Marriage and Family Therapists (LMFT) and Licensed Professional Counselors (LPC) Enrollment and Billing Information
Apr 3, 2024 Update to Crown Limit Per Date of Service
Mar 7, 2024 Preferred Drug List (PDL) and Pharmacy Quarterly Update
Mar 7, 2024 Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Mar 4, 2024 Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Feb 20, 2024 Change to Behavioral Health Covered Services Procedure Codes
Feb 20, 2024 Notification of Request for Medical Records from Provider
Feb 20, 2024 In-Office General Anesthesia for Dental Services
Feb 13, 2024 Objective Developmental Testing
Feb 1, 2024 Fiscal Year (FY) 2025 (October 1, 2024-September 30, 2025) Patient-Centered Medical Home (PCMH) Attestation
Jan 24, 2024 Changes to Behavioral Health Service Location Criteria
Dec 28, 2023 New Coverage for Administration of Respiratory Syncytial Virus Vaccine 90678 and 90679
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Provider ALERTs older than 6 years have been archived and are available at www.media.alabama.gov