Ala. Admin. Code r. 420-10-1-.06

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

Section 420-10-1-.06 - Fees

The Board shall assess and collect newborn screening fees from hospitals and birthing centers or third-party payors. The newborn screening fee shall be set by the State Committee of Public Health based on the schedule of laboratory fees established by Centers for Medicare and Medicaid Services (CMS)for use by Medicare and Medicaid. The Board shall bill the Medicaid Agency for Medicaid eligibles.

(1) Hospitals classified as "rural" by CMS or which have less than 105 beds and are located at least twenty (20) miles from the nearest acute care facility with obstetrical capabilities may have newborn screening fees waived for non-Medicaid eligible patients where there is no third-party payor for such fees. The State Health Officer shall annually submit a list of hospitals to the Board which are eligible for waiver of fees.

(2) Additional reasonable and necessary fees may be charged to other payors by the hospital or physician in connection with this rule. The State Health Officer may waive fees deemed uncollectible because of a patient's inability to pay.

(3) There shall be only one (1) fee per birth collected from a hospital by the Board.

Ala. Admin. Code r. 420-10-1-.06

Filed February 19, 1992. Amended: Filed September 21, 1992; effective October 26, 1992. Repealed and New Rule: Filed December 17, 2003; effective January 21, 2004.

Authors: Lloyd Hofer, M.D., William J. Callan, Ph.D.

Statutory Authority:Code of Ala. 1975, § 22-20-3.