Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-50 - PREVENTIVE HEALTH EDUCATION
Section 560-X-50-.02 - Provider Participation
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Eligible persons may receive preventive health education services through providers who are under contractual agreement with Medicaid to provide these services.
(2) Providers include clinics or other organizations which utilize licensed practitioners of the healing arts within the scope of practice under state law and/or federal regulations as described in section 560-X-50-.02(4).
(3) In cases where there is no licensing board for the instructors listed in 560-X-50-.02(4), the instructor must either work under the personal supervision of a physician or work in a facility that provides the services under the direction of a physician, such as in a clinic or outpatient hospital. "Under the supervision of" denotes that the physician is familiar with the Medicaid approved preventive information being presented to recipients and is available to the preventive health instructor by telephone, fax, or in person at the time the instructor is providing the preventive health education service. Providers must supply Medicaid with the name and resume of the physician supervising the instructor and maintain documentation sufficient to demonstrate their availability to the instructors.
(4) Professional instructors of the provider must meet the following qualifications (according to specialty) as listed below:
(5) All provider instructors must have successfully completed a training program which is designed to prepare them to provide educational services. This training program must be approved by the Alabama Medicaid Agency.
(6) Providers must develop a specific written curriculum for their educational services, including specific course content and objectives for each class. This curriculum must be approved by the Alabama Medicaid Agency.
Author: Dee Lockridge
Statutory Authority: State Plan for Medical Assistance; Title XIX, Social Security Act; 42 CFR §§401, et seq.; 440.130.