Under the provisions of Federal and State law, Medicaid must establish a mechanism to ensure that all such care is of good quality and that service(s) for which billing was made conforms to that which was done. See Chapter 2, Rule No. 560-X-2-.01(2)(d) and (3) for criteria.
Author: Tina Edwards, Dental Program
Ala. Admin. Code r. 560-X-15-.07
Previous Rule 560-X-15-.07, Reimbursement, was repealed and Rule 560-X-15-.09, was renumbered as per certification filed May 12, 2004; effective June 16, 2004. No text was changed just renumbered.
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, etseq.