Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-7 - HOSPITALS
Section 560-X-7-.26 - Medicare/Medicaid Eligible Recipients
Universal Citation: AL Admin Code R 560-X-7-.26
Current through Register Vol. 42, No. 11, August 30, 2024
(1) Inpatient Refer to Rule 560-X-1-.14 for details.
(2) Outpatient Part B. Payment for outpatient crossover claims shall be based on the lesser of the coinsurance and/or deductible amount or the Medicare allowed amount times the outpatient percentage rate minus the Medicare paid amount.
Authors: Cecil Martin, James V. Harris, Ruth H. Chambliss, Vicki W. Huff
Statutory Authority: State Plan, Attachment 3.1A, 3.2A; 42 C.F.R. §§409.60, .80, .83; Medicare Catastrophic Coverage Act of 1988 ( Public Law 100360).
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