ALERTs

Provider Webinar on Wednesday, September 17, 2025, at noon
Sep 5, 2025  -  There are upcoming changes in women’s health services at the Alabama Medicaid Agency (Medicaid). Please join Dr. Darlene Traffanstedt, Medical Director at Medicaid for a provider webinar on Wednesday, September 17, 2025, at noon.
Total Gainwell System Outage for MMIS – Scheduled Maintenance
Sep 5, 2025  -  Please be advised that the Medicaid Management Information System (MMIS), operated by Gainwell, will undergo scheduled maintenance that will result in a complete system outage. During this time, all access to Medicaid systems will be unavailable.
Coverage update for 97550 – 97552 and 92609
Aug 18, 2025  -  Effective October 1, 2025, the Alabama Medicaid Agency will update coverage of procedure codes 97550-97552 and 92609.
Change to Coverage of D9223
Aug 7, 2025  -  The Alabama Medicaid Agency (Medicaid) implemented new coverage for two units of CDT D9223 (general anesthesia – each additional 15-minute increment), allowing for a total of 30 minutes.

Recent ALERTs


Date 
Sep 5, 2025 Provider Webinar on Wednesday, September 17, 2025, at noon
Sep 5, 2025 Total Gainwell System Outage for MMIS – Scheduled Maintenance
Aug 18, 2025 Coverage update for 97550 – 97552 and 92609
Aug 7, 2025 Change to Coverage of D9223
Aug 1, 2025 Coverage update for V5264
Jul 30, 2025 SafeGuard Services, LLC (SGS) Reviews – Documentation Requests
Jul 16, 2025 New Coverage for Audiology Cochlear Implant
Jul 11, 2025 Respiratory Pathogen Panel Tests (CPT 87631 – 87633) Coverage Update
Jul 8, 2025 Quarterly DME Updates
Jun 23, 2025 Rate Increase for EPSDT Periodic Evaluation and Management (E&M) Procedure Codes
Jun 18, 2025 Transforming Maternal Health (TMaH) Model
Jun 16, 2025 Preferred Drug List (PDL) and Pharmacy Quarterly Update
Jun 16, 2025 Updated EPSDT Referral Form 362
Jun 9, 2025 Reminder of Patient-Centered Medical Home (PCMH) Recognition Attestation Deadline
May 30, 2025 May 2025 Fax Submissions of Fiscal Year (FY) 2026 Patient-Centered Medical Home (PCMH) Recognition Attestation
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Provider ALERTs older than 6 years have been archived and are available at www.media.alabama.gov