Ala. Admin. Code r. 560-X-63-.09

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

Section 560-X-63-.09 - Limitations

(1) The Alabama Medicaid Agency will not limit participation to any nursing facility that desires to provide services to ventilator-dependent or qualified tracheostomy residents unless the following conditions exist:

(a) Termination of the nursing facility's Medicaid certification is imminent; or

(b) The nursing facility is a Special Focus Facility, under review by CMS, the Alabama Department of Public Health or the Alabama Medicaid Agency.

(c) The nursing facility does not meet the requirements established by the Department of Public Health and the Medicaid Agency to serve residents who are ventilator-dependent or in need of qualified tracheostomy services.

(2) The Medicaid Agency will not pay for changes to the physical plant in order for the nursing facility to provide services for ventilator-dependent or qualified tracheostomy residents.

Ala. Admin. Code r. 560-X-63-.09

New Rule: Filed December 12, 2011; effective January 16, 2012.

Author: Marilyn F. Chappelle, Director, Long Term Division

Statutory Authority:State Plan; Title XIX, Social Security Act; and 42 CFR Section 401, et seq., Section 483.75.