Provider News and Notices

• ALERTS
• Provider Insider - Provider Newsletters  

Primary Care Enhanced Physician Rates (“Bump”)

• All Physician Providers

To access the Primary Care Enhanced Rates enrollment form, please visit www.medicaid.alabama.gov, click on the “Bump” Form at http://www.medicaid.alabama.gov/content/9.0_Resources/9.4_Forms_Library/9.4.16_Provider_Enrollment_Forms.aspx

For further information on the Alabama Coordinated Health Networks (ACHN) program, please visit http://www.medicaid.alabama.gov/content/2.0_Newsroom/2.7_Special_Initiatives/2.7.6_ACHN.aspx

• DEA Number Registration for Surgeons, Optometrists, Dentists, FQHCs, RHCs, Mental Health Service Providers, Nursing Homes, Hospitals, and Provider Associations

Effective July 8, 2013, Alabama Medicaid began denying any claim for a controlled drug written by a prescriber who did not have their Drug Enforcement Administration (DEA) number registered with the Department of Justice (DOJ) and on file at Medicaid.

These edits are designed to prevent controlled substances from being filled when the prescription is written by an unauthorized prescriber. 

Click here to read the ALERT about change

Click here  to find out how to register on line with the DOJ

To prevent claims from denying
 

Physicians – Make sure your DEA number is registered with DOJ and is on your enrollment file at Medicaid.

To confirm if your DEA number is appropriately registered with the DOJ, and to ensure your correct address/contact information is registered with the DOJ, you may call the Department of Justice Registration Number Toll Free: (888) 514-7302 or (888) 514-8051. Prescribers of controlled substances are mandated to re-register their DEA license every three years.

To ensure your DEA is on file at Medicaid, fax a copy of the provider’s DEA Registration Certificate to Provider Enrollment (fax 334-215-4298) and include the provider’s Name, NPI number, and license number on the certificate. Medicaid will apply the DEA to all service locations based on the provider’s NPI and license number. The DEA information should have been received by Provider Enrollment prior to June 21, 2013. This deadline allowed Provider Enrollment time to enter the information in the provider’s file before the implementation date.

Pharmacies – If you are receiving the informational edits, contact the provider who ordered the prescription and advise them to fax a copy of the provider’s DEA Registration Certificate to Provider Enrollment (fax 334-215-4298) and include the provider’s Name, NPI number, and license number on the certificate.