Alabama medicaid manual

2 days ago · Affected providers may contact the Gainwell Provider Enrollment Unit at and speak to a Provider Enrollment Specialist. To learn more about the revalidation process please visit www.doorway.ru, select the 'Providers' Tab, then click . ALABAMA MEDICAID AGENCY. ADMINISTRATIVE CODE. CHAPTER X MANAGED CARE. TABLE OF CONTENTS. X General. the Alabama Medicaid Provider Manual and/or operational protocols, any Agency written policy, written procedure, written interpretation or . To participate in the Alabama Medicaid Program, rehabilitative services providers must meet the following requirements. Service providers must demonstrate that they meet the criteria in either (1), (2), OR (3) and both (4) AND (5) below. 1. A provider must be certified as a board community mental health.

Hospitals should refer to the Alabama Medicaid Provider Manual (Becoming a Medicaid Provider - Chapter 2) for complete enrollment instructions. (a) The effective date of enrollment cannot be earlier than the date of the Medicare certification. (3) Participating out-of-state (border) hospitals are. Medicaid's staff reveal that providers persist in including unallowable costs in their cost reports, Medicaid may refer its findings to the Medicaid Investigation Section, Medicaid Counsel, and/or the Alabama Attorney General. (11) CAUTION: The cost allowances contained in this. Billing and Policy Information for Providers. Questions about billing and policy issues related to pharmacy services should be directed to the Pharmacy Program at () or () x

is available at no charge to Alabama Medicaid providers. This user manual is designed to augment the online help that accompanies the. Provider Electronic Solutions. software. It also provides installation procedures and a contact number for the Gainwell Electronic Media Claims (EMC) Help Desk, whose commitment. service documentation are detailed in the Medicaid Provider Manual, Rehabilitative Services, Chapter , Section Manuals may be downloaded from the Medicaid website at. www.doorway.ru (2) Documentation in the client's record for each session, service, or activity for which Medicaid reimbursement. on the Medicaid Website, www.doorway.ru 3. A description of the State Plan services offered through the AMA is found in the Appendix A Section of this manual or on the Medicaid Website, www.doorway.ru C. FISCAL AGENT 1. The AMA contracts with a fiscal agent to process and pay all claims submitted by.