Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-48 - FEDERALLY QUALIFIED HEALTH CENTERS
Section 560-X-48-.08 - Patient's Signature

Universal Citation: AL Admin Code R 560-X-48-.08

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

(1) While a recipient signature is not required on individual claim forms, all providers must obtain a signature to be kept on file, e.g., release forms or sign-in-sheets, as verification that the recipient was present on the date of service for which the provider seeks payment. Exceptions to the recipient signature are listed below.

(a) Illiterate recipients may make their mark, for example, "X" witnessed by someone with their dated signature after the phrase "witnessed by."

(b) Interested parties other than the FQHC may sign claim forms for recipients who are not competent to sign because of age, mental, or physical impairment.

(c) For services rendered in a licensed facility setting, other than the provider's office, the recipient's signature on file in the facility's record is acceptable.

(d) When payment has been made on claims for which the recipient signature is not available and one of the above exceptions is not applicable, the funds paid to the provider covering this claim will be recovered.

Author: Vicki Huff

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§433.32, et seq.

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