AS Modifier Utilization for CRNP & PA Claims
Dec 5, 2023 - Effective for dates of service on or after January 1, 2024, Medicaid has updated its claim processing system to require the use of the AS modifier for applicable procedure codes when a CRNP or PA assists with surgery. Please review the attached listing of procedure codes that require the AS modifier.
|
Changes to Hepatitis C Prior Authorization (PA) Criteria
Dec 1, 2023 - Effective October 1, 2022, the Alabama Medicaid Agency removed the requirement of absence of alcohol and illicit drug use by recipients for the prior approval of antiviral drugs used in the treatment of hepatitis C.
|
Preferred Drug List (PDL) and Pharmacy Quarterly Update
Dec 1, 2023 - Effective January 1, 2024, the Alabama Medicaid Agency will Continue to monitor the stimulant shortage affecting ADHD medications.
|
New Coverage for ACIP Recommended Vaccines (for Non-Pharmacy Providers)
Nov 30, 2023 - Effective for dates of service on or after October 1, 2023, Alabama Medicaid received approval to cover the Advisory Committee on Immunization Practices (ACIP) recommended vaccines and their administration, without cost sharing, for adults aged 19 and older.
|