Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-48 - FEDERALLY QUALIFIED HEALTH CENTERS
Section 560-X-48-.03 - Reimbursement

Universal Citation: AL Admin Code R 560-X-48-.03

Current through Register Vol. 42, No. 11, August 30, 2024

(1) Federally Qualified Health Centers (FQHCs) will be reimbursed under a prospective payment system as described in Chapter 56 of the Administrative Code.

(2) Inpatient and outpatient surgery is reimbursed as fee for service and is subject to the routine benefit limitations and policies as stated in Chapter 6 of the Administrative Code.

(3) FQHCs that are enrolled as Pharmacy providers (take home drugs) are reimbursed in accordance with routine benefit limitations and policies as stated in Chapter 16 of the Administrative Code.

Author: Calvin Binion, Associate Director, State, Agency,

Vision, & Clinic Services

Statutory Authority: State Plan, Attachment 4.19-B; Title XIX,

Social Security Act; 42 C.F.R. §§ 413, et seq.

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