Ala. Admin. Code r. 560-X-48-.06

Current through Register Vol. 43, No. 1, October 31, 2024
Section 560-X-48-.06 - Copayment (Cost-Sharing)
(1) Medicaid and Medicare/Medicaid related recipients are required to pay and the FQHCs are required to collect the established copayment amount for each medical encounter.
(2) The cost-sharing amount does not apply to services provided for the following:
(a) Recipients under 18 years of age
(b) Emergencies
(c) Pregnancy
(d) Family Planning
(e) Nursing home residents
(f) American Indians
(3) A provider may not deny services to any eligible individual based on the individual's inability to pay the copayment amount.

Ala. Admin. Code r. 560-X-48-.06

Emergency rule effective October 1, 1990. Permanent rule effective January 15, 1991. Amended: Filed January 19, 2011; effective February 23, 2011.

Author: Carol Akin, Associate Director, Clinic/Ancillary Services

Statutory Authority: State Plan, Attachment 4.18-A; Title XIX, Social Security Act; 42 C.F.R. §§ 447.50, 447.53, 447.55, et seq.