Ala. Admin. Code r. 560-X-50-.02
Current through Register Vol. 43, No. 1, October 31, 2024
Section 560-X-50-.02 - Provider Participation(1) Eligible persons may receive preventive health education services through providers who are under contractual agreement with Medicaid to provide these services.(2) Providers include clinics or other organizations which utilize licensed practitioners of the healing arts within the scope of practice under state law and/or federal regulations as described in section 560-X-50-.02(4).(3) In cases where there is no licensing board for the instructors listed in 560-X-50-.02(4), the instructor must either work under the personal supervision of a physician or work in a facility that provides the services under the direction of a physician, such as in a clinic or outpatient hospital. "Under the supervision of" denotes that the physician is familiar with the Medicaid approved preventive information being presented to recipients and is available to the preventive health instructor by telephone, fax, or in person at the time the instructor is providing the preventive health education service. Providers must supply Medicaid with the name and resume of the physician supervising the instructor and maintain documentation sufficient to demonstrate their availability to the instructors.(4) Professional instructors of the provider must meet the following qualifications (according to specialty) as listed below: (a) A health educator must have graduated from an accredited four-year college or university with major course work in public health, health education, community health, or health/physical education/recreation with a concentration in health.(b) A social worker must be licensed by the Alabama Board of Social Work Examiners.(c) A registered nurse must be licensed by the Alabama Board of Nursing as a Registered Nurse.(d) A nurse practitioner must have successfully completed a supplemental program in an area of specialization, and must be licensed by the Alabama Board of Nursing as a Registered Nurse and be issued a certificate of approval to practice as a Certified Registered Nurse Practitioner in the area of specialization.(e) A nurse midwife must be licensed by the Alabama Board of Nursing as a Registered Nurse and a Certified Nurse Midwife.(f) A nutritionist must be licensed as a Registered Dietitian by the American Dietetic Association.(g) A nutritionist associate must have graduated from a four-year college or university with major course work in nutrition or dietetics.(h) A professional counselor must be licensed by the Alabama Board of Examiners in Counseling.(i) A health instructor must have a bachelor's degree with extensive experience in providing instruction in preventive health education supplemented by a training program approved by the Alabama Medicaid Agency.(5) All provider instructors must have successfully completed a training program which is designed to prepare them to provide educational services. This training program must be approved by the Alabama Medicaid Agency.(6) Providers must develop a specific written curriculum for their educational services, including specific course content and objectives for each class. This curriculum must be approved by the Alabama Medicaid Agency. Author: Dee Lockridge
Ala. Admin. Code r. 560-X-50-.02
Emergency rule effective December 11, 1991. Permanent rule effective March 13, 1992. Amended: Filed June 6, 1995; effective July 11, 1995. Amended: April 8, 1996; effective May 13, 1996.Statutory Authority: State Plan for Medical Assistance; Title XIX, Social Security Act; 42 CFR §§401, etseq.; 440.130.