Ala. Admin. Code r. 560-X-16-.19

Current through Register Vol. 43, No. 02, November 27, 2024

Section 560-X-16-.19 - Pricing Information

The Medicaid Physicians Program shall approve the rate of reimbursement for injectable drugs (for physicians or outpatient hospitals). The actual research and price determination is made by the fiscal agent as set forth in the fiscal agent contract. The drug pricing file is furnished to the fiscal agent who shall update and utilize for pharmacy claims processing within twenty-four (24) hours of receipt for pharmacy claims.

Authors: Sam T. Hardin, Larry A. Tatum

Rule effective October 1, 1982. Amended: Effective May 9, 1984; April 14, 1992. Amended: Filed January 6, 1998; effective February 10, 1998.

Statutory Authority: State Plan, Attachments 3.1A, 4.18B; Title XIX, Social Security Act; 42 C.F.R. §§401, et seq., 447.331; Omnibus Budget Reconciliation Act of 1990 (Public Law 101-508).

The repealed version of this section by Alabama Administrative Monthly Volume XLII, Issue No. 08, May 31, 2024, filed May 20, 2024 is not yet available.