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.
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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.
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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.
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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).
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