Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-13 - DURABLE MEDICAL EQUIPMENT, SUPPLIES, APPLIANCES, PROSTHETICS, ORTHOTICS AND PEDORTHICS
Section 560-X-13-.12 - Cost-Sharing
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Medicaid recipients are required to pay and suppliers are required to collect the designated co-pay amount for the rental or purchase of DME, supplies, appliances and POP, including crossover claims.
(2) The co-payment fee does not apply to in certain situations in accordance with Rule No. 560-X-1-.25.
(3) A provider may not deny services to any eligible recipient due to the recipient's inability to pay the cost-sharing amount imposed.
Author: Kelli Littlejohn Newman, PharmD, Director, Clinical Services
Statutory Authority: 42 C.F.R. §447.50; State Plan, Attachment 4.19-B, page 5; Title XIX, Social Security Act.
