Ala. Admin. Code r. 560-X-7-.18

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

Section 560-X-7-.18 - Patient Signature

(1) While a recipient signature is not required on individual claim forms, all providers must obtain a signature to be kept on file, (e.g., release forms or sign in sheets), as verification that the recipient was present on the date of service for which the provider seeks payment. Exceptions to the recipient signature requirement are listed below.

(a) When there is no personal recipient/provider contact, such as laboratory or radiology services.

(b) Illiterate recipients may make their mark, for example, "X", witnessed by someone with their dated signature after the phrase "witnessed by."

(c) If the patient cannot sign due to physical or mental impairment or because of age, an authorized person may sign for the patient indicating his/her relationship to the patient.

(2) The signature alone or on other insurance forms is not acceptable for payment under Medicaid.

(3) The signature and accompanying authorization and certification must be available for review by Medicaid and/or the Medicaid fiscal agent.

(4) When the acceptable signature is not available or is on an incorrect form and payment has been made, the funds covering this period of care will be recouped.

Author:

Ala. Admin. Code r. 560-X-7-.18

Rule effective October 1, 1982. Amended effective January 14, 1992. Amended: Filed March 7, 1997; effective April 11, 1997.

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.