Out of State Claims DO NOT Need Prior Approval. Except for those services which require prior approval as stated in Chapters 1 and 6 of this Administrative Code (i.e. transplants and select surgeries), medical care outside the State of Alabama does not require prior authorization by the Alabama Medicaid Agency.
Authors: Janet B. Young; Debra Moore
Ala. Admin. Code r. 560-X-6-.05
Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.; State Plan.