ALERTs

Cost Reporting Template – Testing Period
Jul 9, 2024  -  The Alabama Medicaid Agency (Medicaid) will be transitioning to an Excel-based skilled nursing facility and home office cost report effective for the June 30, 2024 cost report due September 16, 2024.
2024 Durable Medical Equipment (DME) Cures Act Fee Schedule and Recoupments
Jul 3, 2024  -  Effective May 1, 2018, the Alabama Medicaid Agency (Medicaid) implemented the Durable Medical Equipment (DME) fee schedule that meets the requirements of 21st Century Cures Act.
COVID-19 Unwinding: Changes to Services
Jul 2, 2024  -  Per federal guidance, the phase down for funds related to the COVID-19 public health emergency (PHE) ends on September 30, 2024. Therefore, some flexibilities the Alabama Medicaid Agency (Medicaid) implemented due to the COVID-19 PHE will end at that time. Effective October 1, 2024:
Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Jun 26, 2024  -  Effective July 1, 2024, the Alabama Medicaid Agency (Medicaid) will implement hard edits on cumulative daily MME claims exceeding 90 MME/day.

Recent ALERTs


Date 
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
May 30, 2024 Rate Change for EEG Procedure Codes
May 30, 2024 Preferred Drug List (PDL) and Pharmacy Quarterly Update
May 22, 2024 Alabama Coordinated Health Network (ACHN)
May 22, 2024 Change in Cost Reporting Software
May 22, 2024 Implementation of Prior Authorization for Spinal Facet-Joint Interventions
Apr 25, 2024 Fingerprint-Based Criminal Background Checks (FCBC) on Providers
Apr 11, 2024 Changes to Digital Upload of Supporting Documentation
Apr 11, 2024 Coverage Addition for Practitioners (CRNPs and PAs)
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Provider ALERTs older than 6 years have been archived and are available at www.media.alabama.gov