Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-64 - INTEGRATED CARE NETWORKS
Section 560-X-64-.16 - ICN Covered Population

Universal Citation: AL Admin Code R 560-X-64-.16

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

(1) The following groups of eligible Medicaid beneficiaries shall be included for coverage by an integrated care network (ICN):

(a) Individuals that meet the current admission criteria for nursing facility care as described in Alabama Medicaid Administrative Code Rule 560-X-10-.10 and who are receiving nursing facility services in accordance with Alabama Medicaid Administrative Code Rule 560-X-10-.04(1);

(b) Individuals that meet the eligibility criteria for the Home and Community-Based Services for the Alabama Community Transition (ACT) Waiver in accordance with Alabama Medicaid Administrative Code Rule 560-X-44-.02; and

(c) Individuals that meet the eligibility criteria for the Home and Community-Based Services for the Elderly and Disabled Waiver in accordance with Alabama Medicaid Administrative Code Rule 560-X-36-.02.

(2) All groups of Medicaid beneficiaries not expressly included in (1) above will continue to be served by the Medicaid fee-for-service program outside of the ICN.

Author: Stephanie Lindsay, Administrator, Administrative Procedures Office

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. Part 438.

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.
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