Ala. Admin. Code r. 560-X-12-.10

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

Section 560-X-12-.10 - Medicare/Medicaid Eligible Recipients

(1) Persons eligible for Medicare and Medicaid are entitled to all services available under both programs, but a claim must be filed with Medicare if the services are covered by Medicare. A patient may not receive home visits under both programs simultaneously. If Medicare terminates coverage, Medicaid may provide visits.

(2) Medicare deductibles and co-insurance amounts for eligible Medicare/Medicaid recipients are not applicable for Home Health services. (Section 930 - PL 96-499)

Author:

Ala. Admin. Code r. 560-X-12-.10

Rule effective October 1, 1982.

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §431.625; State Plan.