Ala. Admin. Code r. 560-X-62-.10

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

Section 560-X-62-.10 - Minimum Fee-For-Service Reimbursement Rates

(1) In accordance with Section 22-6-153(c) of the Alabama Code, the minimum fee-for-service reimbursement rates that a regional care organization shall pay providers for applicable Medicaid services provided to a Medicaid beneficiary shall be the prevailing Medicaid fee-for-service payment schedule, unless otherwise jointly agreed to by a provider and a regional care organization through a contract or mandated by federal law.

(2) The minimum provider reimbursements shall be incorporated into the actuarially sound rate development methodology for each regional care organization. The Medicaid Agency shall submit the methodology and resulting rates to the Centers for Medicare and Medicaid Services for approval.

Ala. Admin. Code r. 560-X-62-.10

Amended by Alabama Administrative Monthly Volume XXXII, Issue No. 10, July 31, 2014, eff. 8/22/2014.

Author: Sharon Weaver, Administrator, Administrative Procedures Office

Statutory Authority:Code of Ala. 1975, §§ 22-6-150et seq.