Ala. Admin. Code r. 560-X-45-.08

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

Section 560-X-45-.08 - Billing Nurse-Family Partnership Services By Providers

(1) NFP Providers may submit a claim to Medicaid once each month. At least one qualifying visit must occur prior to the submission of the claim.

(2) The NFP provider agrees to accept as payment in full the amount paid for covered NFP services.

(3) Medicaid will not reimburse for any direct care services (i.e. wound care, medication administration, etc.) rendered by an NFP provider.

Ala. Admin. Code r. 560-X-45-.08

Repealed and New Rule: Filed February 19, 1999; effective March 26, 1999; operative May 1, 1999. Amended: Filed June 11, 2003; effective July 16, 2003. Amended: Filed October 12, 2005; effective November 16, 2005.

Amended by Alabama Administrative Monthly Volume XXXVI, Issue No. 10, July 31, 2018, eff. 8/26/2018.

Repealed by Alabama Administrative Monthly Volume XXXVIII, Issue No. 03, December 31, 2019, eff. 2/14/2020.

Amended by Alabama Administrative Monthly Volume XL, Issue No. 09, June 30, 2022, eff. 8/14/2022.

Previous Rule 560-X-45-.07 was renumbered to Rule 560-X-45-.08 as per certification filed October 12, 2005; effective November 16, 2005.

Author: John Majors, Associate Director, Maternity and Family Planning

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. Section 440.169(b); and State Plan.