Alerts

Information on Billing for Administration of COVID-19 Vaccines (for Non-Pharmacy Providers)
Jan 13, 2022  -  Effective October 29, 2021, the Alabama Medicaid Agency covers the following procedure codes for the administration of the Pfizer vaccine for ages 5 to 11:
COVID-19 Emergency Expiration Date Extended to January 31, 2022
Dec 22, 2021  -  All previously published expiration dates related to the COVID-19 emergency are once again extended by the Alabama Medicaid Agency (Medicaid).
Coming Soon: Upcoming Changes to CARC Code 45
Dec 14, 2021  -  Changes described in the ALERT dated November 5, 2021, regarding the replacement of Claim Adjustment Reason Code (CARC) Code 45 with CARC Code (96) will not be implemented. Gainwell verified CARC Code 45 still conforms to the Payment & Remittance Uniform Use of CARCs and RARCs (835) Rule.
Preferred Drug List (PDL) and Pharmacy Quarterly Update
Nov 30, 2021  -  Effective January 1, 2022, the Alabama Medicaid Agency will require Kazano, Nesina and Oseni to be billed with a Dispense as Written (DAW) Code of 9.

Recent Alerts


Date 
Jan 13, 2022 Information on Billing for Administration of COVID-19 Vaccines (for Non-Pharmacy Providers)
Dec 22, 2021 COVID-19 Emergency Expiration Date Extended to January 31, 2022
Dec 14, 2021 Coming Soon: Upcoming Changes to CARC Code 45
Nov 30, 2021 Preferred Drug List (PDL) and Pharmacy Quarterly Update
Nov 30, 2021 New Chatbot Feature Available to Assist Providers with Questions
Nov 21, 2021 COVID-19 Monoclonal Antibody Infusion
Nov 15, 2021 COVID-19 Emergency Expiration Date Extended to December 31, 2021
Nov 5, 2021 Coming Soon: Upcoming Changes to CARC Code 45
Nov 5, 2021 Upcoming Changes to Eligibility and Benefit Response 271 Transaction
Oct 24, 2021 Non-Invasive Prenatal Test for Fetal Aneuploidy (NIPT)
Oct 14, 2021 COVID-19 Emergency Expiration Date Extended to November 30, 2021
Oct 5, 2021 Alabama Medicaid Changes Eyeglass and Eye Exam Benefit for Adults
Sep 24, 2021 Ambulance Reimbursement Rate Increase
Sep 22, 2021 Coming Soon: Upcoming Changes to CARC Code 45
Sep 22, 2021 Upcoming Changes to Eligibility and Benefit Response 271 Transaction
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