Ala. Admin. Code r. 560-X-7-.28

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

Section 560-X-7-.28 - Copayment (Cost Sharing)

(1) The Medicaid recipient shall pay the allowable copayment amount for each inpatient admission under the Medicaid program, except for the designated exemptions. The copayment amount does not apply to services provided for the following:

(a) Recipient under 18 years of age

(b) Pregnancy

(c) Renal dialysis

(d) Emergencies

(e) Family planning

(f) Chemotherapy

(g) Radiation therapy

(h) Nursing home residents

(2) The Medicaid recipient shall pay the allowable copayment amount for each outpatient visit received under the Medicaid program, except for designated exemptions. The copayment amount does not apply to services provided for the following:

(a) Recipients under 18 years of age

(b) Pregnancy

(c) Renal dialysis

(d) Emergencies

(e) Family planning

(f) Chemotherapy

(g) Radiation therapy

(h) Physical therapy

(i) Nursing home residents

Author: Lynn Sharp, Associate Director, Policy Development Unit

Ala. Admin. Code r. 560-X-7-.28

Rule effective June 8, 1985. (Ed. Note: Previously Rule No. 560-X-7-.29.) Amended: Filed August 8, 1994; effective September 13, 1994. Amended: Filed August 6, 1999; effective September 10, 1999.

Statutory Authority: State Plan, Attachment 4.18A; 42 C.F.R. §§447.15, .50, .55.