Alabama

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Reimbursement Changes

Fri, 2013-03-29 10:02

Due to budget constraints, the Alabama Medicaid Agency will implement a 5 percent reduction in payments to the following provider groups effective April 1, 2013:

·         Independent Lab and X-ray Facilities   

·         Physician Lab and X-ray

2013 Molecular Pathology Fee Schedule

Thu, 2013-02-28 11:31

Cahaba has determined a gapfill allowance for the 2013 Molecular Pathology CPT codes. They can be obtained by doing a Search for a Single Code on the 2013 Clinical Lab Fee Schedule.

MAC J10 for the states of Alabama, Georgia, and Tennessee

Reversal of Proration Cuts

Thu, 2012-10-25 12:07

The Alabama Medicaid Agency announced that payment reductions implemented earlier this year due to proration of the General Fund budget will be reversed no later than November 1, 2012. The reversals were made possible following the passage of a state Constitutional Amendment on September 18 which enabled Medicaid’s 2013 Fiscal Year Budget to receive additional monies through the state’s General Fund.

Preferred Medical Laboratory (PML) Providers Drug Screening Billing Changes

Thu, 2012-09-27 09:42

Effective November 1, 2012, drug screening laboratory services should be billed with HCPCS codes G0431 and G0434 to be eligible for reimbursement. Current CPT codes 80100, 80101 and 80104 may be billed, but they will not be separately payable by Blue Cross and Blue Shield of Alabama.

Alabama Medicaid to reduce services, provider payments for FY 2012

Wed, 2012-05-23 17:00

As a result of General Fund proration declared on March 16, 2012, the Alabama Medicaid Agency has been directed to identify and implement cuts to its overall budget. The Agency will implement these cuts:

     • Reduction of payments to certain provider groups by 10 percent
     • Physicians
     • Physician Lab & X-ray
     • Independent Lab & X-ray

These reductions will be effective for dates of service on or after June 1, 2012.

Alabama Medicaid to reduce services, provider payments for FY 2012

Wed, 2012-05-23 17:00

As a result of General Fund proration declared on March 16, 2012, the Alabama Medicaid Agency has been directed to identify and implement cuts to its overall budget. The Agency will implement these cuts:

     • Reduction of payments to certain provider groups by 10 percent

     • Physicians

     • Physician Lab & X-ray

     • Independent Lab & X-ray

These reductions will be effective for dates of service on or after June 1, 2012.

Policy on Qualitative Drug Screening

Sun, 2012-01-15 16:00

Effective beginning dates of service January 1, 2012, and thereafter, Medicaid will adopt the following policy on qualitative drug screening:

The following drug screens will be limited to one specimen every seven days per recipient, per provider (providers within a group are considered a single provider), and may not be billed in any combination: 80100, 80101, 80102, and 80104.

Policy on Qualitative Drug Screening

Sun, 2012-01-15 16:00

Effective beginning dates of service January 1, 2012, and thereafter, Medicaid will adopt the following policy on qualitative drug screening:

The following drug screens will be limited to one specimen every seven days per recipient, per provider (providers within a group are considered a single provider), and may not be billed in any combination: 80100, 80101, 80102, and 80104.

Medicaid Will No Longer Accept Old Recipient ID Numbers

Mon, 2011-02-28 16:00

After four years of transition, the Alabama Medicaid Agency is phasing out the acceptance of the old Medicaid ID number for claims processing, effective January 17, 2011. Medicaid will DENY any claims received on or after January 17, 2011, that are submitted with the old Medicaid ID number. All new Medicaid ID numbers issued after the conversion also begin with a 5". The old Medicaid ID number begins with 000".

Please verify the Medicaid ID number for Medicaid recipients at the time of service. If the Medicaid ID number

Medicaid Will No Longer Accept Old Recipient ID Numbers

Mon, 2011-02-28 16:00

After four years of transition, the Alabama Medicaid Agency is phasing out the acceptance of the old Medicaid ID number for claims processing, effective January 17, 2011. Medicaid will DENY any claims received on or after January 17, 2011, that are submitted with the old Medicaid ID number. All new Medicaid ID numbers issued after the conversion also begin with a "5". The old Medicaid ID number begins with "000".

Please verify the Medicaid ID number for Medicaid recipients at the time of service. If the Medicaid ID number

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