Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-64 - INTEGRATED CARE NETWORKS
Section 560-X-64-.07 - Service Delivery Network Requirements For Integrated Care Networks
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Definitions - As referenced in this Chapter of the Alabama Medicaid Administrative Code the following terms shall be defined as follows:
(2) Each ICN must demonstrate to the satisfaction of the Medicaid Agency that its Service Delivery Network meets the requirements of this rule based on the timelines established by the Medicaid Agency.
(3) Each ICN must ensure compliance with all requirements for the furnishing of Medicaid services in accordance with this rule, applicable laws and medical standards as well as the needs of Medicaid enrollees.
(4) The Medicaid Agency may inspect or request additional documentation and information relating to the documentation submitted pursuant to this rule at any time to verify the information contained therein.
(5) Notwithstanding any provisions of this rule to the contrary, any ICN shall be governed by federal access standards which may be found in their entirety in 42 C.F.R. §§ 438.206- 438.210 and which are hereby incorporated by reference and made a part of this rule as if set out in full and all provisions thereof are adopted as rules of the Medicaid Agency.
Author: Stephanie Lindsay, Administrator, Administrative Procedures Office.
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. Part 438.