Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-64 - INTEGRATED CARE NETWORKS
Section 560-X-64-.03 - Governing Board Of Directors
Current through Register Vol. 43, No. 02, November 27, 2024
(1) An Integrated Care Network (ICN) shall have a governing board of directors composed of the following members:
(2) A majority of the members of the board may not represent a single provider. Any provider shall meet licensing requirements set by law, shall have a valid Medicaid provider number, and shall not be otherwise disqualified from participating in Medicare or Medicaid.
(3) Medicaid shall have the power to approve the members of the governing board and the board's structure, powers, bylaws, or other rules of procedure. No organization shall be granted integrated care network certification without approval.
(4) The governing board may, by resolution adopt by a majority of the directors, appoint an executive committee, which shall consist of two or more directors, who may have such authority and take such action as authorized by the governing board and consistent with state law; provided, however, any at-risk provider type shall be represented on the executive committee. For purposes of this subsection, a legal entity shall be considered the same provider type of the majority owner(s), principal(s) or member(s) of that entity. The governing board shall set policy and direction for the integrated care network and the executive committee shall execute the policies established by the governing board. The governing board may also appoint such other committees as are consistent with Alabama law. All actions of the executive committee and all other committees shall be reported to the governing board. The compositions of the executive committee must ensure gender, race, and geographic diversity. At least one member of an executive committee and any other committee shall be one of the members appointed to the board by the Medical Association of the State of Alabama.
Author: Stephanie Lindsay, Administrator, Administrative Procedures Office
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. Part.