Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-6 - PHYSICIANS PROGRAM
Section 560-X-6-.04 - Submission Of Claims: Routing Of Claims
Universal Citation: AL Admin Code R 560-X-6-.04
Current through Register Vol. 43, No. 02, November 27, 2024
(1) MEDICAID ELIGIBLES.
(a) Claims should be submitted to the fiscal
agent in accordance with instructions for these patients who are enrolled for
MEDICAID ONLY.
(b) Reimbursement
for physicians' services will NOT be made to the patient, sponsor, or nursing
facility. The Medicaid program does not provide for reimbursement of this
expense to these individuals or facilities.
(2) MEDICARE ELIGIBLES.
(a) For Medicaid patients who are also
enrolled for benefits under Part B, refer to Chapter 1 of this Code and the
Alabama Medicaid Provider Manual.
Authors: Janet B. Young, Glen A. Smythe Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.; State Plan.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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