1. (1) The Alabama Medicaid Agency or its designated agent will perform a retrospective review of Medicaid nursing home or ICF/IID facility residents’ records to determine appropriateness of admission. Refer to Rule 560-X-10-.11(3)(g) of this Administrative Code for more information.

Author: Robin Arrington, Administrator, LTC Provider/Recipient Services Unit

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, et seq., 435.1009, 456.1.

Editor’s Note: Rule 560-X-10-.06, Review of Medicaid Residents, was renumbered to Rule 560-X-10-.07 as per certification filed August 11, 2003; effective September 15, 2003.

History: Rule effective October 1, 1982. Emergency rule: Effective October 1, 1990. Amended: Effective February 13, 1991. Amended: Filed August 11, 2003; effective September 15, 2003. Amended: Filed November 8, 2006; effective December 13, 2006. Amended: Filed August 11, 2011; effective September 15, 2011. Amended: Filed November 9, 2012; effective December 14, 2012. Amended: Filed January 11, 2017; effective February 25, 2017. Amended: Published May 29, 2020; effective July 13, 2020.