Ala. Admin. Code r. 560-X-1-.24

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-1-.24 - Limitations On Providers

(1) The Alabama Medicaid Agency will normally enroll providers of covered services and issue provider contracts to new provider applicants who meet the requirements of the Code of Federal Regulations, the licensure and/or certification requirements of the State of Alabama, and the Administrative Code and operating procedures of the Alabama Medicaid Agency.

(2) Providers who have been convicted of fraud will not be considered for contract with the Medicaid Agency.

(3) The Alabama Medicaid Agency may terminate an existing contract of a provider when the Agency determines that during the last fiscal year the provider has provided services to Medicaid-only recipients not exceeding five claims and/or $100.00or, the provider has not submitted any claims in the previous 18months.

Ala. Admin. Code r. 560-X-1-.24

Rule effective May 9, 1984. Amended: Effective March 11, 1985. Emergency Rule: Effective April 16, 1987. Amended: Effective July 10, 1987. Amended: Filed September 11, 2013; effective October 16, 2013.

Author: Kathy Hall, Deputy Commissioner, Program Administration

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R.§§ 431.51, 440.230, 440.240, 442.10, 442.12(d)(1), 447.204, etseq., 431.107, Part 455, Subpart C, and Part 405.