Ala. Admin. Code r. 560-X-13-.11

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

Section 560-X-13-.11 - Non-Reimbursement Of DME, Supplies, Appliances And POP

(1) DME item(s) furnished by a supplier without receipt of an authorization to purchase by Medicaid will not be approved for reimbursement.

(2) Item(s) supplied to an individual who is not eligible during the month in which the item(s) are furnished, are not reimbursable.

(3) Medicaid recipients cannot be reimbursed directly by Medicaid.

Ala. Admin. Code r. 560-X-13-.11

Rule effective October 1, 1982. Amended: effective January 8, 1985. Amended: Filed February 3, 1997; effective March 10, 1997. Amended: Filed August 11, 2004; effective September 15, 2004.

Amended by Alabama Administrative Monthly Volume XXXIV, Issue No. 04, January 29, 2016, eff. 2/25/2016.

Author: Kelli Littlejohn Newman, PharmD, Director, Clinical Services

Statutory Authority:42 C.F.R. §447.252; Title XIX, Social Security Act.