Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-17 - EYE CARE SERVICES
Section 560-X-17-.01 - Eye Care Services - General
Current through Register Vol. 43, No. 02, November 27, 2024
The information contained herein sets forth policies and procedures for providing eye care services under the Alabama Medicaid Program.
(1) Participation. Only in-state and borderline out-of-state eye care services providers (within a 30-mile radius of the state line) who meet enrollment requirements are eligible to participate in the Alabama Medicaid Program. The following information must be included in a written enrollment request to Medicaid's Fiscal Agent, Provider Enrollment Division:
(2) Patient Identification. It is most important that a provider verify a Medicaid recipient's identity and eligibility, since claims submitted on ineligible persons cannot be paid by the Alabama Medicaid Agency (Medicaid). Refer to Chapter 1, General, of this Code for information about identification of Medicaid recipients.
(3) Prior Authorization.
Refer to Chapter 15 of the Alabama Medicaid Provider Manual.
Author: Calvin Binion, Associate Director, State Agency, Vision, & Clinic Services
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. § 401, et seq.
