Ala. Admin. Code r. 560-X-11-.06
Procedures And Tests In The Screening Examination
Effective May 15, 2026Rule effective October 1, 1982. Emergency rule effective December 1, 1986. Amended: Effective March 12, 1987. Emergency rule effective October 1, 1990. Amended: Effective February 13, 1991. Amended: Published March 31, 2026; effective May 15, 2026.Alabama Medicaid Agency
- (1) The Agency will establish specific health evaluation procedures to be used by screening providers. These procedures and tests will be fully described in the Provider Billing Manual.
- (2) All procedures and tests included in the Provider Billing Manual must be carried out on each person screened and must be recorded in the case history of the individual.
- (3) Where it is not possible to carry out all procedures and tests, this fact must be recorded in the case history of the individual, including the reason such procedure or test was not carried out.
- (4) Requirements in this paragraph are subject to federal and state audits and documentation in the records will be examined in on-site visits from time to time. Failure to meet these requirements may result in recoupment of the funds paid to the provider.
Author: Earnestine Sanford RN, Dental, EPSDT, and Physicians Division
Statutory Authority: Title XIX, Social Security Act; State Plan; 42 C.F.R. §441.56(d); OBRA '89 §6403.
History: Rule effective October 1, 1982. Emergency rule effective December 1, 1986. Amended: Effective March 12, 1987. Emergency rule effective October 1, 1990. Amended: Effective February 13, 1991. Amended: Published March 31, 2026; effective May 15, 2026.