Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-63 - VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE
Section 560-X-63-.09 - Limitations

Universal Citation: AL Admin Code R 560-X-63-.09

Current through Register Vol. 43, No. 02, November 27, 2024

(1) The Alabama Medicaid Agency will not limit participation to any nursing facility that desires to provide services to ventilator-dependent or qualified tracheostomy residents unless the following conditions exist:

(a) Termination of the nursing facility's Medicaid certification is imminent; or

(b) The nursing facility is a Special Focus Facility, under review by CMS, the Alabama Department of Public Health or the Alabama Medicaid Agency.

(c) The nursing facility does not meet the requirements established by the Department of Public Health and the Medicaid Agency to serve residents who are ventilator-dependent or in need of qualified tracheostomy services.

(2) The Medicaid Agency will not pay for changes to the physical plant in order for the nursing facility to provide services for ventilator-dependent or qualified tracheostomy residents.

Author: Marilyn F. Chappelle, Director, Long Term Division

Statutory Authority: State Plan; Title XIX, Social Security Act; and 42 CFR Section 401, et seq., Section 483.75.

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.