Ala. Admin. Code r. 560-X-49-.05
Current through Register Vol. 43, No. 1, October 31, 2024
A nurse practitioner may bill Medicaid recipients for the copay amount, for Medicaid noncovered services and for services provided to a recipient who has exhausted his/her yearly limitations. Conditional collections to be refunded post payment by Medicaid and partial charges for balance of Medicaid allowed reimbursement are not permissible. Billing recipients for services not paid by Medicaid due to provider correctable errors on claims submission or untimely filing is not permissible.
Author: Debra Moore
Ala. Admin. Code r. 560-X-49-.05
Statutory Authority:42 C.F.R. §447.15; State Plan, Attachment 4.18A; Title XIX, Social Security Act.