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.
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