Ala. Admin. Code r. 560-X-13-.11
Non-Reimbursement Of DME, Supplies, Appliances And POP
Effective Feb 25, 2016Rule effective October 1, 1982. Amended: effective January 8, 1985. Amended: Filed February 3, 1997; effective March 10, 1997. Amended: Filed August 11, 2004; effective September 15, 2004. Amended: Filed January 11, 2016; effective February 25, 2016.Alabama Medicaid Agency
- (1) DME item(s) furnished by a supplier without receipt of an authorization to purchase by Medicaid will not be approved for reimbursement.
- (2) Item(s) supplied to an individual who is not eligible during the month in which the item(s) are furnished, are not reimbursable.
- (3) Medicaid recipients cannot be reimbursed directly by Medicaid.
Author: Kelli Littlejohn Newman, PharmD, Director, Clinical Services
Statutory Authority: 42 C.F.R. §447.252; Title XIX, Social Security Act.
History: Rule effective October 1, 1982. Amended: effective January 8, 1985. Amended: Filed February 3, 1997; effective March 10, 1997. Amended: Filed August 11, 2004; effective September 15, 2004. Amended: Filed January 11, 2016; effective February 25, 2016.