PDF VERSION

TO:  Outpatient Service Providers, Physicians, Nurse Practitioners, Physician Assistants, Federally Qualified Health Centers and Rural Health Clinics

RE:   COVID-19 Monoclonal Antibody Infusion

As Alabama Medicaid continues to monitor the COVID-19 national public health emergency in Alabama, Medicaid is adding the following procedure codes for coverage:

Providers may submit claims for dates of services on or after the effective dates for each procedure code as listed above.

FQHCs/RHCs should submit claims for the above procedure codes outside of the encounter rate.

During the COVID-19 emergency, it is important to file claims as quickly as possible to ensure payment from Medicaid-to-Medicaid providers close to the date of service. The Centers for Medicare and Medicaid Services (CMS) has increased the federal matching percentage for the emergency time frame, but states can only receive the increased match on claims paid during the emergency. Providers should include appropriate COVID-19 diagnosis code(s) on claims submitted to help the tracking of COVID-19.

For questions, please visit www.Medicaid.Alabama.gov or call the Medicaid Fiscal Agent at

1-800-688-7989.

Physicians, Nurse Practitioners, and Physician Assistants can email questions to Jean.Wackerle@medicaid.alabama.gov.

Outpatient service providers can email questions to Lynne.Davenport@medicaid.alabama.gov  or Callie.Johnson@medicaid.alabama.gov.   

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2022 American Medical Association
and © 2022 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.