Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-7 - HOSPITALS
Section 560-X-7-.28 - Copayment (Cost Sharing)

Universal Citation: AL Admin Code R 560-X-7-.28

Current through Register Vol. 42, No. 11, August 30, 2024

(1) The Medicaid recipient shall pay the allowable copayment amount for each inpatient admission under the Medicaid program, except for the designated exemptions. The copayment amount does not apply to services provided for the following:

(a) Recipient under 18 years of age

(b) Pregnancy

(c) Renal dialysis

(d) Emergencies

(e) Family planning

(f) Chemotherapy

(g) Radiation therapy

(h) Nursing home residents

(2) The Medicaid recipient shall pay the allowable copayment amount for each outpatient visit received under the Medicaid program, except for designated exemptions. The copayment amount does not apply to services provided for the following:

(a) Recipients under 18 years of age

(b) Pregnancy

(c) Renal dialysis

(d) Emergencies

(e) Family planning

(f) Chemotherapy

(g) Radiation therapy

(h) Physical therapy

(i) Nursing home residents

Author: Lynn Sharp, Associate Director, Policy Development Unit

Statutory Authority: State Plan, Attachment 4.18A; 42 C.F.R. §§447.15, .50, .55.

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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