Ala. Admin. Code r. 560-X-45-.08
Billing Nurse-Family Partnership Services By Providers
Effective Aug 14, 2022Repealed and New Rule: Filed February 19, 1999; effective March 26, 1999; operative May 1, 1999. Amended: Filed June 11, 2003; effective July 16, 2003. Amended: Filed October 12, 2005; effective November 16, 2005. Amended: Filed July 12, 2018; effective August 26, 2018. Repealed: Published December 31, 2019; effective February 14, 2020. New Rule: Published June 30, 2022; effective August 14, 2022.Alabama Medicaid Agency
- (1) NFP Providers may submit a claim to Medicaid once each month. At least one qualifying visit must occur prior to the submission of the claim.
- (2) The NFP provider agrees to accept as payment in full the amount paid for covered NFP services.
- (3) Medicaid will not reimburse for any direct care services (i.e. wound care, medication administration, etc.) rendered by an NFP provider.
Author: John Majors, Associate Director, Maternity and Family Planning
Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. Section 440.169(b); and State Plan.
Editor’s Note: Previous Rule 560-X-45-.07 was renumbered to Rule 560-X-45-.08 as per certification filed October 12, 2005; effective November 16, 2005.
History: Repealed and New Rule: Filed February 19, 1999; effective March 26, 1999; operative May 1, 1999. Amended: Filed June 11, 2003; effective July 16, 2003. Amended: Filed October 12, 2005; effective November 16, 2005. Amended: Filed July 12, 2018; effective August 26, 2018. Repealed: Published December 31, 2019; effective February 14, 2020. New Rule: Published June 30, 2022; effective August 14, 2022.