Ala. Admin. Code r. 560-X-21-.07

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-21-.07 - Payments To Physicians

(1) The supervising physician may not bill for supervisory services. The physician can bill Medicaid, however, if it becomes necessary for the physician to perform the delivery or complete a delivery service for the nurse midwife. When the physician bills the delivery only service, the midwife may bill antepartum care or postpartum care, or both, depending on which service(s) the nurse midwife performed. If the physician bills for delivery only including postpartum care, the nurse midwife may bill only for the antepartum care provided.

(2) Sterilization at the time of delivery is covered by Medicaid only if it is performed by the physician, and only if all other Medicaid requirements for sterilization are met. Author:

Rule effective October 1, 1982. Emergency amendment June 14, 1993. Amended August 12, 1993. Amended: Filed February 7, 1994; effective March 15, 1994.

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