Ala. Admin. Code r. 560-X-7-.25

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

Section 560-X-7-.25 - Prior Authorization

(1) Out-of-State Referrals -- Prior authorization will be required for organ transplants and select surgical procedures. (Refer to Rule No. 560-X-1-.27 and Rule No. 560-X-6-.13 respectively).

(2) Dental Hospitalization -- See Chapter 15, Dental Services, for details.

Rule effective October 1, 1982. Emergency rule effective July 8, 1983. Amended effective July 8, 1983; October 1, 1983; November 10, 1983; May 9, 1984; June 9, 1986; October 11, 1986; April 1, 1988. (Ed. Note: Previously Rule No. 670-X-7-.26.) Amended effective October 12, 1988. Emergency rule effective January 1, 198 9. Amended effective March 14, 198 9; April 17, 1990; January 15, 1991; October 12, 1991; October 13, 1992. Amended: Filed March 7, 1997; effective April 11, 1997. Amended: Filed November 10, 2010; effective December 15, 2010.

Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 09, June 30, 2015, eff. 7/16/2015.

Previously Rule No. 670-X-7-.26. Amended effective October 12, 1988. Emergency rule effective January 1, 1989. Amended effective March 14, 1989; April 17, 1990; January 15, 1991; October 12, 1991; October 13, 1992. Amended: Filed March 7, 1997; effective April 11, 1997. Amended: Filed November 10, 2010; effective December 15, 2010. Amended: Filed June 11, 2015; effective July 16, 2015.

Author: Solomon Williams, Associate Director, Institutional Services

Statutory Authority: State Plan, Attachment 3.1-A; Title XIX, Social Security Act; 42 C.F.R. §431.25 .