Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-59 - PROVIDER-BASED RURAL HEALTH CLINIC SERVICES
Section 560-X-59-.08 - Copayment (Cost Sharing)
Universal Citation: AL Admin Code R 560-X-59-.08
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Medicaid and Medicare/Medicaid related recipients are required to pay and Provider-Based Rural Health Clinics are required to collect the established copayment amount for each clinic visit.
(2) The cost-sharing requirement 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 on account of the individual's inability to pay the copayment amount.
Author: Carol Akin, Associate Director, Clinic/Ancillary Services
Statutory Authority: 42 C.F.R. Section 447.50; Section 447.53; Section 447.55; State Plan, Attachment 4.18-A and 4.19-B.
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