Notification of Third Party Resource Other Than Recipient’s Own Insurance
Jan 12, 2026 - The Alabama Medicaid Agency (Medicaid) created a new form titled “Notification of Third Party Resource other than Recipient’s Own Insurance.” This form should be used by all Medicaid providers to notify Medicaid that the provider has filed with a third party resource other than the recipient’s own insurance for payment (as stated in Medicaid’s Administrative Code Rule No. 560-X-20-.02 (3)(d)).
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Fiscal Year (FY) 2027 (October 1, 2026-September 30, 2027) Patient-Centered Medical Home (PCMH) Attestation
Jan 12, 2026 - Alabama Medicaid Primary Care Physician (PCP) Groups actively participating with an Alabama Coordinated Health Network (ACHN) may be eligible to receive a quarterly Patient-Centered Medical Home (PCMH) Bonus Payment.
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Therapy Add-on Election, Retroactive Rate Changes, January 1 Inflation Rate
Dec 23, 2025 - Upon CMS approval, for per diem rates effective October 1, 2025 and thereafter, costs for Medicaid therapy services, including physical therapy, occupational therapy and speech-language pathology, will be considered allowable costs.
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Applied Behavior Analysis (ABA) Program Expectations and Updates
Dec 18, 2025 - Effective December 1, 2025, the Alabama Medicaid Agency (Medicaid) Mental Health Service Program Area will oversee the Applied Behavior Analysis (ABA) section of Chapter 37 in the Medicaid Provider Billing Manual.
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