Ala. Admin. Code r. 560-X-59-.02

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

Section 560-X-59-.02 - Participation

(1) In order to participate in the Title XIX (Medicaid) Program, and to receive Medicaid payment, a Provider-Based Rural Health Clinic, including satellite clinics must:

(a) request an enrollment packet from our Fiscal Agent Provider Enrollment Unit;

(b) be certified for participation in the Title XVIII (Medicare) Program;

(c) obtain certification by the appropriate State survey agency;

(d) be in compliance with the Clinical Laboratory Improvement Amendment (CLIA) testing for all laboratory sites; and

(e) be operating in accordance with applicable Federal, State and local laws.

(2) Requests for enrollment in the Alabama Medicaid Program must be sent to the Fiscal Agent Provider Enrollment Unit.

(3) Satellite clinics must enroll separately and execute a separate provider contract with Alabama Medicaid.

(4) The effective date of enrollment of a Provider-Based Rural Health Clinic will be the date of Medicare certification but under no circumstance will the date be earlier than October 1, 1993. Providers who request enrollment more than 120 days after certification are enrolled on the first day of the month the enrollment is approved.

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

Ala. Admin. Code r. 560-X-59-.02

Emergency rule effective October 1, 1993. This Rule effective December 14, 1993. Amended: Filed March 14, 2002; effective April 18, 2002.

Statutory Authority:42 C.F.R. Section 491 Subpart A; Section 405.2401-.2472 Subpart X; Title XIX; Clinical Laboratory Improvement Amendment of 1988 (CLIA) 42 CFR Section 493 et. seq.; Public Law 100-578 ( 42 U.S.C. Section 263a ); State Plan Attachment 4.19-B.