Ala. Admin. Code r. 560-X-13-.12 – Cost-Sharing

(1) Medicaid recipients are required to pay and suppliers are required to collect the designated co-pay amount for the rental or purchase of DME, supplies, appliances and POP, including crossover claims.
(2) The co-payment fee does not apply to in certain situations in accordance with Rule No. 560-X-1-.25.
(3) A provider may not deny services to any eligible recipient due to the recipient's inability to pay the cost-sharing amount imposed.

Author: Kelli Littlejohn Newman, PharmD, Director, Clinical Services

Statutory Authority: 42 C.F.R. §447.50; State Plan, Attachment 4.19-B, page 5; Title XIX, Social Security Act.

History: Rule effective June 8, 1985. Amended: Filed May 11, 2001; effective June 15, 2001. Amended: Filed December 12, 2008; effective January 16, 2009. Amended: Filed January 11, 2016; effective February 25, 2016.