Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-6 - PHYSICIANS PROGRAM
Section 560-X-6-.17 - Copayment (Cost-sharing)
Universal Citation: AL Admin Code R 560-X-6-.17
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Medicaid recipients are required to pay, and physician providers are required to collect, the designated copayment amount on each physician visit. The copayment amount does not apply to services provided for the following:
(a) Pregnancy
(b) Nursing home residents
(c) Inpatient hospital visits
(d) Recipients under 18 years of
age
(e) Emergencies
(f) Surgery fees
(g) Physical therapy
(h) Family planning
(2) A provider may not deny services to any eligible individual due to the individual's inability to pay the cost-sharing amount imposed.
Author: Desiree Nelson; Program Manager; Medical Support
Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §§ 447.50, 447.53, 447.55, et seq.; State Plan Attachment 4.18lA.
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