Administrative Code

The Alabama Medicaid Administrative Code is a set of rules that dictate how the Medicaid agency is administered. The Code is divided into parts, chapters and rules that outline policy and procedures for all aspects of Medicaid services.

Proposed Agency Rules

Rule Review Certification

Administrative Code - Effective 7/17/24
Chapter Number Title
1 General - Updated 3/18/21
2 Assuring High Quality Care - Updated 9/24/18
3 Fair Hearings - Updated 7/26/18
4 Program Integrity Division - Updated 7/15/23
5 Psychiatric Facilities for Individuals 65 or Older - Updated 6/14/19
6 Physicians Program - Updated 3/16/24
7 Hospitals - Updated 1/14/22
8 Independent Rural Health Clinic Services - Updated 3/16/20
9 Independent Laboratory
10 Long Term Care - Updated 7/14/20
11 Early and Periodic Screening, Diagnosis and Treatment for Individuals Under 21 - Updated 9/8/20
12 Home Health - Updated 12/14/20
13 DME Supplies, Appliances, Prosthetics, Orthotics, Pedorthics - 12/14/20
14 Family Planning - Updated 1/14/21
15 Dental Services - Updated 5/15/23
16 Pharmacy Services - Updated 3/16/24
17 Eye Care Services - Updated 8/14/21
18 Transportation Services - Updated 3/16/24
19 Hearing Services
20 Third Party - Updated 10/16/24
21 Nurse Midwife Program
22 Nursing Facility Reimbursement - Updated 3/16/24
23 Hospital Reimbursement Program - Updated 3/28/16
24 End Stage Renal Disease Program
25 Medicaid Eligibility - Updated 7/15/23
26 Rules of Practice Before the Agency - Updated 4/20/15
27 Confidential Materials
28 Forms Used by the Agency - Updated 7/26/18
29 Definitions of Terms Used in the Rules - Updated 10/26/18
30 Emergency Rule Procedures
31 Declaratory Rulings
32 Rules Adopted by Reference
33 Recoupments and Liens - Updated 1/25/16
34 Independent Radiology Services - Updated 3/18/10
35 Home and Community-Based Waiver for Persons with Intellectual Disabilities - Updated 7/15/23
36 Home and Community-Based Services for the Elderly and Disabled - Updated 6/12/23
37 Managed Care - Updated 1/14/23
38 Ambulatory Surgical Center Services
39 Extracorporeal Shock Wave Lithotripsy (ESWL)
40 Optional Targeted Case Management - Updated 7/14/20
41 Psychiatric Facilities for Individuals Under 21 - Updated 3/18/21
42 ICF/IID Reimbursement - Updated 3/16/24
43 Home and Community-Based Services Community Waiver Program (CWP) for Persons with Intellectual Disabilities - Updated 7/15/23
44 Home and Community-Based Services for the Alabama Community Transition (ACT) Waiver - Updated 6/25/18
45 Nurse-Family Partnership -  8/15/22
46 Swing Beds - Updated 12/17/13
47 Rehabilitative Services - Updated 11/14/19
48 Federally Qualified Health Centers - Updated 3/16/20
49 Certified Nurse Practitioner Program - Updated 9/23/19
50 Preventive Health Education
51 Hospice Care - Updated 9/15/21
52 Home and Community-Based Living at Home (LH) Waiver for Persons with Intellectual Disabilities - Updated 05/15/23
53 Programs of All-Inclusive Care for the Elderly (PACE) - Updated 6/13/13
54 ER Home and Community-Based Services for Individuals Under the Technology Assisted (TA) Waiver for Adults 5/15/23
55 Perinatal Coordinators
56 Federally Qualified Health Center Reimbursement - Updated 1/15/09
57 Home and Community-Based Services for the State of Alabama Independent Living (SAIL) Waiver - Updated 5/15/23
58 Reserved
59 Provider-Based Rural Health Program - Updated 2/22/11
60 Provider-Based Rural Health Clinic Reimbursement - Updated 1/15/09
61 Children's Specialty Clinic Services - Updated 9/19/06
62 Reserved - Updated 4/29/19
63 Ventilator Dependent and Qualified Tracheostomy Care - Updated 10/26/18
64 Integrated Care Networks - 9/24/18
   

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