Ala. Admin. Code r. 560-X-24-.09

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

Section 560-X-24-.09 - Billing And Sending Statement To Eligible Alabama Medicaid Recipients

(1) No eligible Alabama Medicaid recipient is to receive a bill or statement for covered services or items, once that recipient has been accepted as a Medicaid patient.

(2) The provider may send a notice to the recipient stating their claim is still outstanding, provided the notice indicates in bold letters, "THIS IS NOT A BILL."

(3) It is the responsibility of the provider to follow up with the fiscal agent and/or Medicaid, and not the recipient, on any problem or unpaid claim.

(4) The recipient is not responsible for the difference of covered charges billed and amount paid by Medicaid for covered charges.

(5) Provider may bill eligible recipients for noncovered services.

Author:

Ala. Admin. Code r. 560-X-24-.09

Rule effective July 9, 1984. Amended: Effective January 14, 1987.

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§447.15, 447.50, 447.55.