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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Medicaid Recovery Audit Contractor (RAC) Provider Education Webinar
Jan 28, 2026 - Alivia Analytics, the Alabama Medicaid Recovery Audit Contractor (RAC) will host an education webinar for providers on Tuesday, February 24, 2026, at 1:00 p.m. The purpose of the webinar is to educate Medicaid providers on their responsibilities throughout the RAC audit process.
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Notification of Third Party Resource Other Than Recipient’s Own Insurance
Jan 12, 2026 - The Alabama Medicaid Agency (Medicaid) created a new form titled “Notification of Third Party Resource other than Recipient’s Own Insurance.” This form should be used by all Medicaid providers to notify Medicaid that the provider has filed with a third party resource other than the recipient’s own insurance for payment (as stated in Medicaid’s Administrative Code Rule No. 560-X-20-.02 (3)(d)).
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