Ala. Admin. Code r. 560-X-21-.03

Current through Register Vol. 42, No. 12, September 30, 2024

Section 560-X-21-.03 - Provider Participation

(1) In order to participate in the program a nurse midwife must submit a completed application form along with a copy of current registered nurse and nurse midwife licensure, plus copy of the written signed agreement between the nurse midwife and the physician consultant. If the application is approved, Medicaid will offer the applicant a one year renewable contract.

(2) Only in-state and border line out-of-state (within a 30-mile radius of Alabama's state line) providers who meet enrollment requirements are eligible to participate in the Alabama Medicaid Program.

(3) Nurse Midwives who want to participate in the Medicaid program should contact the Medicaid Agency for an enrollment application. Send the request to:

Administrator of Nurse Midwife Program

Alabama Medicaid Agency

501 Dexter Avenue

P. O. Box 5624

Montgomery, Alabama 36103-5624

Author:

Ala. Admin. Code r. 560-X-21-.03

Rule effective October 1, 1982. Effective date of this emergency amendment June 14, 1993. Effective date of this amendment August 12, 1993. Amended Filed: July 6, 1995; effective August 12, 1995.

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, etseq., 440.165, 441.21; Code of Ala. 1975, §§ 34-19-2, etseq.