Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-48 - FEDERALLY QUALIFIED HEALTH CENTERS
Section 560-X-48-.06 - Copayment (Cost-Sharing)
Universal Citation: AL Admin Code R 560-X-48-.06
Current through Register Vol. 42, No. 11, August 30, 2024
(1) Medicaid and Medicare/Medicaid related recipients are required to pay and the FQHCs are required to collect the established copayment amount for each medical encounter.
(2) The cost-sharing amount does not apply to services provided for the following:
(a) Recipients under 18 years of
age
(b) Emergencies
(c) Pregnancy
(d) Family Planning
(e) Nursing home residents
(f) American Indians
(3) A provider may not deny services to any eligible individual based on the individual's inability to pay the copayment amount.
Author: Carol Akin, Associate Director, Clinic/Ancillary Services
Statutory Authority: State Plan, Attachment 4.18-A; Title XIX, Social Security Act; 42 C.F.R. §§ 447.50, 447.53, 447.55, et seq.
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