Ala. Admin. Code r. 560-X-59-.08

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

Section 560-X-59-.08 - Copayment (Cost Sharing)

(1) Medicaid and Medicare/Medicaid related recipients are required to pay and Provider-Based Rural Health Clinics are required to collect the established copayment amount for each clinic visit.

(2) The cost-sharing requirement does not apply to services provided for the following:

(a) Recipients under 18 years of age;

(b) Emergencies;

(c) Pregnancy;

(d) Family Planning;

(e) Nursing home residents;

(f) American Indians.

(3) A provider may not deny services to any eligible individual on account of the individual's inability to pay the copayment amount.

Ala. Admin. Code r. 560-X-59-.08

Emergency rule effective October 1, 1993. Permanent rule effective December 14, 1993. Amended: Filed January 19, 2011; effective February 23, 2011.

Author: Carol Akin, Associate Director, Clinic/Ancillary Services

Statutory Authority:42 C.F.R. Section 447.50; Section 447.53; Section 447.55; State Plan, Attachment 4.18-A and 4.19-B.