Alerts

Upcoming Changes to the 835 Electronic Remittance Advice
Apr 20, 2021  -  As of the May 7, 2021 checkwrite, changes will be re-applied to production. These changes were previously applied for the March 5, 2021 checkwrite and were rolled back on March 19, 2021 after issues were discovered.
COVID-19 Vaccine Information for Pharmacy Billing
Apr 16, 2021  -  Alabama Medicaid will allow reimbursement to pharmacies for a vaccine administration fee to Medicaid providers who utilize federally-allocated COVID-19 vaccines. For claims effective March 15, 2021 and after, the reimbursement rate for the administration fee is $40.00 per dose, and will continue only during that time as described by the American Rescue Plan Act of 2021 that provides for increased FMAP for administration of the COVID-19 vaccine unless ended sooner by the Agency in a subsequent ALERT.
COVID-19 Emergency Expiration Date Extended to May 31, 2021
Apr 15, 2021  -  All previously published expiration dates related to the COVID-19 emergency are once again extended by the Alabama Medicaid Agency (Medicaid). The new expiration date is the earlier of May 31, 2021, the conclusion of the COVID-19 national emergency, or any expiration date noticed by the Alabama Medicaid Agency through a subsequent ALERT.
Changes coming to Radiology and Cardiology Prior Authorizations from eviCore
Apr 13, 2021  -  Effective April 19, 2021, eviCore, Alabama Medicaid’s contractor for radiology and cardiology prior authorizations will use the intelliPath® system, a streamlined method for processing these prior authorizations (PAs).

Recent Alerts


Date 
Apr 20, 2021 Upcoming Changes to the 835 Electronic Remittance Advice
Apr 16, 2021 COVID-19 Vaccine Information for Pharmacy Billing
Apr 15, 2021 COVID-19 Emergency Expiration Date Extended to May 31, 2021
Apr 13, 2021 Changes coming to Radiology and Cardiology Prior Authorizations from eviCore
Apr 13, 2021 Pharmacy Updates Related to COVID-19
Apr 13, 2021 Participating Alabama Coordinated Health Network (ACHN) Primary Care Physician (PCP) Groups
Apr 5, 2021 Digital Upload for Supporting Documentation
Mar 23, 2021 Durable Medical Equipment (DME) Program Updates Related to Continuous Glucose Monitor (CGM) Update
Mar 23, 2021 New Coverage for Administration of COVID-19 Vaccine (for Non-Pharmacy Providers)
Mar 21, 2021 Implementation of the Consolidated Prior Authorization Supporting Documentation Form for PA Submissions
Mar 18, 2021 Upcoming Changes to the 835 Electronic Remittance Advice
Mar 18, 2021 Reimbursement Increase for COVID-19 Vaccine Administration
Mar 18, 2021 COVID-19 Vaccine Information for Pharmacy Billing
Mar 18, 2021 Implementation of the Consolidated Prior Authorization Supporting Documentation Form for PA Submissions
Mar 10, 2021 COVID-19 Emergency Expiration Date Extended to April 30, 2021
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