Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-38 - AMBULATORY SURGICAL CENTER SERVICES
Section 560-X-38-.02 - Participation

Universal Citation: AL Admin Code R 560-X-38-.02

Current through Register Vol. 43, No. 02, November 27, 2024

(1) In order to participate in the Title XIX Medicaid Program and to receive Medicaid payment for services, ASC providers must meet all of the following requirements:

(a) Certification for participation in the Title XVIII Medicare Program;

(b) Approval by the appropriate licensing authorities;

(c) Compliance with Title VI of the Civil Rights Act of 1964 and with Section 504 of the Rehabilitation Act of 1973; and

(d) Submit a letter requesting enrollment, a copy of a transfer agreement with an acute care facility (refer to Rule 560-X-38-.05 for details), and enter into a contract with the Alabama Medicaid Agency.

(e) Reimbursement is limited to services provided directly by the facility's staff in accordance with the capability as specified on the HCFA-377.

(2) The fiscal agent will be responsible for enrolling any Title XVIII (Medicare) certified Ambulatory Surgery Centers that wish to be enrolled as Qualified Medicare Beneficiary (QMB) only providers.

Authors: Vicki W. Huff, Carol Akin.

Statutory Authority: 42 C.F.R. §§ 416.2, 416.39, 416.40; Medicare Catastrophic Coverage Act of 1988, ( Public Law 100-360).

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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