Ala. Admin. Code r. 560-X-19-.03

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

Section 560-X-19-.03 - Billing Procedures And Claims Payment

(1) Audiologists and hearing aid dealers should refer to Rule 560-X-1-.17, Chapter one, Administrative Code, for provider billing instructions.

(2) Claim forms and billing instructions will be furnished to participating providers by Medicaid's fiscal agent.

(3) An audiologist employed by a physician cannot file a claim for the same services billed by that physician for the same patient, on the same date of service.

(4) Providers may bill an Alabama Medicaid recipient only when the recipient has exhausted all of his/her allowed Medicaid benefits or when the service rendered is a non-covered service.

Author:

Ala. Admin. Code r. 560-X-19-.03

Rule effective October 1, 1982. Emergency rule effective October 1, 1990; March 18, 1991. Amended effective June 12, 1991.

Statutory Authority: State Plan; 42 C.F.R. §§401, etseq.; Title XIX, Social Security Act.