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| Entire State Plan |
Bookmarked Document - Note: Large file may take a few minutes to download. |
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Table of Contents |
| Sections |
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| Section 1 |
Single State Agency Organization |
| Section 2 |
Coverage and Eligibility |
| Section 3 |
Services, General Provisions |
| Section 4 |
General Program Administration |
| Section 5 |
Personnel Administration |
| Section 6 |
Financial Administration |
| Section 7 |
General Provisions |
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| Attachments |
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| 1.1-A |
Attorney General's Certification |
| 1.2-A |
Organization and Function of State Agency |
| 1.2-B |
Organization and Functions of the Alabama Medicaid Agency |
| 1.2-C |
Professional Medical Personnel and Supporting Staff |
| 1.2-D |
Eligibility Determination Staff and Functions |
| 2.1-A |
Definition of a Health Maintenance Organization |
| 2.2-A |
Groups Covered and Agencies Responsible for Eligibility Determination |
| 2.6-A |
Eligibility Conditions and Requirements |
| Supplemental 2.6-A |
Income Eligibility Levels |
| 2.6-B |
Standards for Optional State Supplementary Payments |
| 3.1-A |
Amount, Duration, and Scope of Medical and Remedial Care and Services Provided to the Categorically Needy |
| Supplement 1 of 3.1-A |
Targeted Case Management Services |
| Supplement 2 of 3.1-A |
Self-Directed Personal Assistance Services |
| Supplement 3 of 3.1-A |
Program of All Inclusive Care for the Elderly (PACE) |
| Supplement 4 of 3.1-A |
Medicated Assisted Treatment |
| 3.1-B |
Amount, Duration, and Scope of Services Provided Medically Needy Group(s) |
| 3.1-C |
Methods for Assuring High Quality of Care |
| 3.1-D |
Methods for Providing Transportation |
| 3.1-E |
Standards for the Coverage of Organ Transplant Services |
| 3.1-F |
Managed Care |
| 3.1-H |
Health Homes for Individuals with Chronic Conditions |
| 3.2-A |
Coordination of Title XIX with Part A and Part B of Title XVIII |
| 3.5-A |
Medicaid for Medicare Cost Sharing for Qualified Medicare Beneficiaries |
| 4.11-A |
Standards for Medical Institutions |
| 4.14-B |
Utilization Review in Intermediate Care Facilities |
| 4.16-A |
Cooperative Agreements with Other Agencies |
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Agreements |
| 4.17-A |
Liens and Adjustments or Recoveries |
| 4.18-A |
Service Charges for the Categorically Needy |
| 4.18-D |
Premiums Imposed on Low Income Pregnant Women and Infants |
| 4.18-E |
Optional Sliding Scale Premiums Imposed on Qualified Disabled and Working Individuals |
| 4.19-A |
Method of Payment of Reasonable Costs for Inpatient Hospital Services |
| 4.19-B |
Payment for Medical Care and Services, Excluding Inpatient Hospital and Long Term Care Services
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| 4.19-C |
Policy on Payment for Reserving Beds in an Inpatient Facility |
| 4.19-D |
Methods and Procedures for Determining Nursing Facility Reimbursement |
| 4.19-E |
Definition of a Claim |
| 4.22-A |
Requirements for Third Party Liability - Identifying Liable Resources |
| 4.22-B |
Third Party Collection Procedures to be Cost Effective |
| 4.22-C |
State Method on Cost Effectiveness of Employer-Based Group Health Plans Private Health Insurance Buy In (PHIBI) |
| 4.30 |
Sanctions for Psychiatric Hospitals |
| 4.32-A |
Income and Eligibility Verification System Procedures Requests to Other State Agencies |
| 4.33-A |
Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals |
| 4.34-A |
Requirements for Advance Directives Under State Plans for Medical Assistance |
| 4.35-A-H |
Eligibility Conditions and Requirements - Enforcement of Compliance for Nursing Facilities |
| 4.38-A |
Disclosure/Collection of Additional Registry Information |
| 4.39-A |
Definition of Specialized Services/Categorical Determinations |
| 4.40-A-E |
Eligibility Conditions and Requirements - Various |
| 4.42-A |
Employee Education About False Claims Recoveries |
| 4.43 |
Cooperation with Medicaid Integrity Program Efforts |
| 7.2-A |
Statement of Compliance Certification for the Medical Assistance Program of Alabama |
| 7.7-A |
Vaccine and Vaccine Administration at Section 1905(a)(4)(E) of the Social Security Act |
| 7.7-B |
COVID-19 Testing at Section 1905(a)(4)(F) of the Social Security Act |
| 7.7-C |
COVID-19 Treatment at Section 1905(a)(4)(F) of the Social Security Act |