Alabama medicaid policy manual

Their toll free number is (2) The fiscal agent will provide current detailed claims processing procedures in a manual format for all claim types covered by Medicaid services. The fiscal agent will prepare and distribute the Alabama Medicaid Agency Provider Manual to providers of Medicaid services. certification requirements of the State of Alabama, the Code of Federal Regulations, the Alabama Medicaid Administrative Code, and the Alabama Medicaid Provider Manual. The Medicaid Agency is governed by rules and regulations of the Center for Medicare and Medicaid Services (CMS). DHR Target Groups.  · WIC Program. Women, Infants and Children (WIC) is a supplemental nutrition program for pregnant women, breastfeeding women, women who had a baby within the last six months, infants, and children under the age of five. One must meet income requirements and have a nutritional risk that proper nutrition could help to improve.

Providers should review Part I of the Alabama Medicaid Provider Manual, plus the appropriate program chapter in Part II of the manual, for program-specific and claims filing instructions. For instance, the Provider Electronic Solutions User Manual will not provide instructions on submitting claims with third party denials, or inform the user which recipient aid categories allow for full Medicaid coverage, or whether a particular. The Alabama Medicaid Provider Billing Manual is a practical guide to assist Medicaid-enrolled providers in receiving reimbursement. Providers are expected to periodically review the manual to ensure acccurate claims processing and reimbursement. Provider Billing Manuals. Other Manuals. Appendix A Section of this manual or on the Medicaid Website, www.doorway.ru C. FISCAL AGENT 1. The AMA contracts with a fiscal agent to process and pay all claims submitted by providers of medical care, services, and equipment authorized under the Title XIX State plan. The current fiscal agent is Hewlett Packard (HP). 2. HP is responsible for enrolling providers in the Medicaid program and for.

Please view the provider Alert posted on the Alabama Medicaid. the care of a Primary Care Provider (PCP) (Ref: Chapter 40 of Provider Billing Manual). Please refer to Chapter 14, DME, of the Medicaid Provider Manual for Pharmacy providers seeking to enroll as Alabama Medicaid DME. Adult Coverage Policy Pharmacy Billing: Alabama Medicaid will reimburse Medicaid-enrolled pharmacy Provider manual appendix A well child check-up.