DME Quarterly Updates
Apr 2, 2026 - Updates to the following DME policies are effective April 1,2026:
1. Cranial Orthosis coverage
2. Enclosed beds
3. Coverage for procedure codes A7507 and A7508
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Preferred Drug List (PDL) and Pharmacy Quarterly Update
Mar 5, 2026 - Effective April 1, 2026, the Alabama Medicaid Agency (Medicaid) will remove the Dispense as Written (DAW) Code of 9 from Adderall XR, Toujeo, and Xarelto, update the PDL to reflect the quarterly updates, and add Journavx as preferred on the PDL with clinical criteria.
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Changes to Applied Behavior Analysis Service Location Criteria
Mar 4, 2026 - Effective February 24, 2026, to enroll as an Alabama Medicaid Applied Behavior Analysis Provider (Provider Type: 17) the service location must be a physical facility. The physical facility must also have visible signage bearing the name of the business.
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Medicaid Recovery Audit Contractor (RAC) Provider Education Webinar
Jan 28, 2026 - Alivia Analytics, the Alabama Medicaid Recovery Audit Contractor (RAC) will host an education webinar for providers on Tuesday, February 24, 2026, at 1:00 p.m. The purpose of the webinar is to educate Medicaid providers on their responsibilities throughout the RAC audit process.
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