ALERTs

Alabama Coordinated Health Network (ACHN)
May 22, 2024  -  All ACHN enrollments established under the initial state’s planned ACHN program that began on October 1, 2019, will terminate on September 30, 2024.
Change in Cost Reporting Software
May 22, 2024  -  The Alabama Medicaid Agency will be transitioning to an Excel-based skilled nursing facility cost report effective for the June 30, 2024 cost report due September 16, 2024.
Implementation of Prior Authorization for Spinal Facet-Joint Interventions
May 22, 2024  -  Effective for dates of service on or after May 1, 2024, the Alabama Medicaid Agency (Medicaid) updated the prior authorization (PA) program to include facet-joint intervention procedures.
Fingerprint-Based Criminal Background Checks (FCBC) on Providers
Apr 25, 2024  -  As a reminder, federal regulations require states to conduct a fingerprint-based criminal background check on providers or any person with five percent or more direct or indirect ownership interest in the provider who meets any of the criteria pursuant to 42 C.F.R. § 455.450.

Recent ALERTs


Date 
May 22, 2024 Alabama Coordinated Health Network (ACHN)
May 22, 2024 Change in Cost Reporting Software
May 22, 2024 Implementation of Prior Authorization for Spinal Facet-Joint Interventions
Apr 25, 2024 Fingerprint-Based Criminal Background Checks (FCBC) on Providers
Apr 11, 2024 Changes to Digital Upload of Supporting Documentation
Apr 11, 2024 Coverage Addition for Practitioners (CRNPs and PAs)
Apr 11, 2024 Enhancement to Dental Administrative Review of Claims Process
Apr 8, 2024 FQHC and RHC Licensed Marriage and Family Therapists (LMFT) and Licensed Professional Counselors (LPC) Enrollment and Billing Information
Apr 3, 2024 Update to Crown Limit Per Date of Service
Mar 7, 2024 Preferred Drug List (PDL) and Pharmacy Quarterly Update
Mar 7, 2024 Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Mar 4, 2024 Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Feb 20, 2024 Change to Behavioral Health Covered Services Procedure Codes
Feb 20, 2024 Notification of Request for Medical Records from Provider
Feb 20, 2024 In-Office General Anesthesia for Dental Services
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Provider ALERTs older than 6 years have been archived and are available at www.media.alabama.gov