Coverage Update for 96127, Extended to Pregnant and Postpartum Recipients over 21
Nov 24, 2025 - Effective January 1, 2026, the Alabama Medicaid Agency will update coverage of procedure code 96127 to allow for prenatal and postpartum depression screening to pregnant recipients over the age of 21.
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Reminder - Maternity Bonus Payment Opportunities
Nov 12, 2025 - Effective October 1, 2024, Maternity Care Providers (MCPs) are reimbursed for the specified MCP bonus payments at the following rates:
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Changes to Non-Pharmacy Prior Authorization Process
Nov 12, 2025 - Beginning January 1, 2026, the Alabama Medicaid Agency (Medicaid) will implement changes to the prior authorization (PA) process for non-pharmacy PAs to comply with the CMS Interoperability and Prior Authorization Final Rule. This Final Rule does not apply to pharmacy PA requests.
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REVISED - Continuous Glucose Monitor Policy Updates
Oct 24, 2025 - Effective October 1, 2025, Continuous Glucose Monitors (CGMs) will be covered through the Durable Medical Equipment (DME) Program with prior authorization (PA) for recipients (children and adults) with one of the following: type 1 diabetes mellitus and type 2 diabetes mellitus AND are insulin treated with multiple (three or more) daily injections of insulin.
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