Ala. Admin. Code r. 560-X-13-.16
External Breast Prostheses
Effective Feb 25, 2016New Rule: Filed October 12, 2001; effective November 16, 2001. Amended: Filed August 11, 2004; effective September 15, 2004. Amended: Filed May 11, 2012; effective June 15, 2012. Amended: Filed April 11, 2014; effective May 16, 2014. Amended: Filed January 11, 2016; effective February 25, 2016.Alabama Medicaid Agency
- (1) External breast prostheses following mastectomy for breast cancer are covered for all Medicaid-eligible recipients meeting the criteria. Please refer to Chapter 14, DME, or the Medicaid Provider Manual published on Medicaid’s website
- (2) Providers of external breast prostheses devices for adults must be enrolled as a Medicaid provider and Mastectomy Fitters must be licensed by the Alabama Board of Prosthetics, Orthotics and Pedorthics.
Author: Kellie Littlejohn Newman, PharmD, Director, Clinical Services
Statutory Authority: State Plan; 42 CFR, Section 440.70; Title XIX, Social Security Act.
History: New Rule: Filed October 12, 2001; effective November 16, 2001. Amended: Filed August 11, 2004; effective September 15, 2004. Amended: Filed May 11, 2012; effective June 15, 2012. Amended: Filed April 11, 2014; effective May 16, 2014. Amended: Filed January 11, 2016; effective February 25, 2016.