Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-1 - GENERAL
Section 560-X-1-.09 - Recipient Identification Number
Universal Citation: AL Admin Code R 560-X-1-.09
Current through Register Vol. 42, No. 11, August 30, 2024
(1) The identification number of Medicaid eligible recipients contains 13 digits. The first three will be "500" or "530".
(2) The Medicaid identification number will be embossed on a plastic Medicaid eligibility card issued to each individual entitled to Medicaid.
(3) Providers should question patients aged 65 or older about entitlement to Medicare.
(a) Where a Medicare claim number has not
been assigned for those aged 65 or older, the recipient should be referred to
the local SSA office to make application for Medicare.
(b) Claims for services covered by Medicare
may not be submitted until a Medicare number has been assigned; then claim
should be filed first with Medicare with the Medicaid number listed on the
Medicare claim as "other insurance."
(c) A Medicare claim number with a suffix "M"
indicates there is no Medicare Part A (hospital insurance) entitlement.
Hospital claims for this type number may be filed with Medicaid as regular
Medicaid claims.
Author: Denise Banks, Medicaid Administrator I, Policy and Training Division
Statutory Authority: State Plan for Medical Assistance.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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