Ala. Admin. Code r. 560-X-8-.03

Current through Register Vol. 42, No. 12, September 30, 2024

Section 560-X-8-.03 - Reimbursement

(1) Independent Rural Health Clinics (IRHCs) will be reimbursed under a Prospective Payment System (PPS) as described in Chapter 56 of the Administrative Code.

(2) Encounters are all-inclusive and all services provided for the visit are included in the reimbursement rate. The only exceptions are claims for laboratory services and for the technical component of EKG's and radiology services.

Rule effective October 1, 1982. Amended: effective December 6, 1984. Effective May 11, 1993. Amended: Filed April 11, 2001; effective May 16, 2001. Amended: Filed March 14, 2002; effective April 18, 2002. Amended: Filed July 12, 2005; effective August 16, 2005.

Amended by Alabama Administrative Monthly Volume XXXVIII, Issue No. 02, November 29, 2019, eff. 3/16/2020.

Author: Calvin Binion, Associate Director, State Agency, Vision, & Clinic Services

Statutory Authority:42 C.F.R., §§ 447.371, et seq. ; State Plan for Medical Assistance, Attachment 4.19-B, page 1.