ALERTs

RSV Prevention Criteria for the 2024–2025 Season
Sep 17, 2024  -  Beyfortus® will be administered and dispensed through the Vaccines for Children Program (VFC)3, administered through Alabama Department of Public Health. Therefore, Beyfortus® will not be eligible for billing through the Medicaid pharmacy program.
Preferred Drug List (PDL) and Pharmacy Quarterly Update
Sep 10, 2024  -  Effective October 1, 2024, the Alabama Medicaid Agency (Medicaid) will: 1. Continue to monitor the stimulant shortage affecting ADHD medications. Should you need assistance, please contact Acentra Health at the number below for alternative prescribing and dispensing options.
Reminder of Changes to Services on October 1, 2024 Related to COVID-19 Unwinding
Sep 5, 2024  -  The following information was published in a Provider ALERT on July 2, 2024; however, the Alabama Medicaid Agency (Medicaid) is sending this information to providers again as a reminder of upcoming changes starting on October 1, 2024.
Medicaid Recovery Audit Contractor (RAC) Audits
Sep 3, 2024  -  Mandatory provisions of the Affordable Care Act require the Alabama Medicaid Agency (Medicaid) to select and provide oversight for a Medicaid Recovery Audit Contractor (RAC) to perform provider audits. Alivia Analytics, LLC (Alivia) was selected to be Medicaid’s RAC effective October 1, 2024.

Recent ALERTs


Date 
Sep 17, 2024 RSV Prevention Criteria for the 2024–2025 Season
Sep 10, 2024 Preferred Drug List (PDL) and Pharmacy Quarterly Update
Sep 5, 2024 Reminder of Changes to Services on October 1, 2024 Related to COVID-19 Unwinding
Sep 3, 2024 Medicaid Recovery Audit Contractor (RAC) Audits
Aug 16, 2024 2024 SNF Cost Report – Establish Submission Portal Account
Aug 15, 2024 New Coverage for Audiology
Aug 9, 2024 2024 Final Cost Report Templates & Due Date Extension
Aug 1, 2024 Disclosure of Ownership, Control Interest Statement, Licensure, Certifications, Governmental Programs, Investigations, Liability, Legal and Criminal Information
Jul 9, 2024 Cost Reporting Template – Testing Period
Jul 3, 2024 2024 Durable Medical Equipment (DME) Cures Act Fee Schedule and Recoupments
Jul 2, 2024 COVID-19 Unwinding: Changes to Services
Jun 26, 2024 Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Jun 17, 2024 Alabama Coordinated Health Network (ACHN) Delivering Healthcare Professional Groups Required to Complete New Agreement
Jun 6, 2024 Reminder of Patient-Centered Medical Home (PCMH) Recognition Attestation Deadline
May 31, 2024 New Medicaid ID Numbers for Elderly and Disabled Population
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Provider ALERTs older than 6 years have been archived and are available at www.media.alabama.gov