Ala. Admin. Code r. 560-X-43-.05
Qualifications Of Staff Who Will Serve As Review Team For Medical Assistance
Effective May 15, 2022Rule effective August 10, 1988. Amended: Effective October 8, 1991; November 13, 1991. Amended: Filed May 6, 1994; effective June 14, 1994. Repealed: Filed July 12, 2018; effective August 26, 2018. New Rule: Published March 31, 2022; effective May 15, 2022.Alabama Medicaid Agency
- (1) The nurse shall be a graduate of a licensed school of nursing with a current state certification as a Licensed Practical Nurse (LPN) or Registered Nurse (RN). This person shall have knowledge and training in the area of intellectual disabilities with a minimum of two (2) years' experience.
- (2) The social worker shall be a graduate of a four-year college with an emphasis in social work. This person shall have knowledge and training in the area of intellectual disabilities with a minimum of two (2) years' experience.
- (3) The psychologist shall be a PH.D. in Psychology. This person shall be a licensed psychologist with general knowledge of test instruments used for individuals with intellectual disabilities with a minimum of two (2) years' experience.
(4) Other professional disciplines which may be represented on the assessment team as necessary depending on the age, functional level, and physical disability of the clients are as follows:
- (a) Special Education
- (b) Speech Pathologist
- (c) Audiologist
- (d) Physical Therapist
- (e) Optometrist
- (f) Occupational Therapist
- (g) Vocational Therapist
- (h) Recreational Specialist
- (i) Pharmacist
- (j) Doctor of Medicine
- (k) Psychiatrist
- (l) Other skilled health professionals
Author: Mattie Jackson, Associate Director, Specialized Waiver Unit, LTC Healthcare Reform Division
Statutory Authority: 42 C.F.R. Section 441, Subpart G, and the Home- and Community-Based Waiver for Persons with Intellectual Disabilities and Developmentally Disabled.
History: Rule effective August 10, 1988. Amended: Effective October 8, 1991; November 13, 1991. Amended: Filed May 6, 1994; effective June 14, 1994. Repealed: Filed July 12, 2018; effective August 26, 2018. New Rule: Published March 31, 2022; effective May 15, 2022.