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The Alabama Medicaid Dental Program covers certain routine preventive and restorative services for children under the age of 21 who have full Medicaid eligibility. Medicaid does not cover any type of dental care for adults.
In order for an incontinence product to be covered by a Medicaid plan, it must be considered \u201cmedically necessary.\u201d Products deemed medically necessary are those considered as essential to the treatment or management of a particular condition. This can be determined by visiting a doctor and getting a diagnosis.
Prior Authorization (approval in advance) is required for many procedures, services or supplies, including transportation. Click here for information on obtaining an Emergency PA for medications. Below are the forms used for Prior Authorization. Prior Review and Authorization Request Note: a completed form is required.
Medicaid patients get medical care from a variety of sources. Covered medical services include dental, eye and hearing care, lab and x-ray services as well as renal dialysis and transplant coverage.
If a provider is unable to submit a claim within three-hundred sixty-five (365) days from the date of service due to retroactive beneficiary eligibility, claims must be submitted within sixty (60) days of the eligibility determination.
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Does Medicaid cover diapers? Medicaid will consider payment of disposable diapers when referred as medically necessary with an EPSDT screen and Prior Authorization (PA) for recipients ages 3\u201320 only.
B. \u201cIncontinence Medical Supplies\u201d are medical supplies required for the care of an incontinent patient, limited to the categories of items classified as IMS by Medi-Cal in Title 22, California Code of Regulations (CCR), Section 59998(b) and waterproof sheeting, which is classified as a standard medical supply.
Medicaid's eye care program provides services through ophthalmologists, optometrists and opticians. Adults (21 years of age and older) are eligible for one complete eye exam and one pair of eyeglasses every two calendar years. Children are eligible for the same services on an annual basis.
What is the time limit for filing a claim to Alabama Medicaid? Generally, Medicaid requires all claims to be filed within one year of the date of service; however, some programs have different claims filing time limit limitations.
The Alabama Medicaid Program is a state-run health insurance option for adults, children, senior citizens, and individuals with special needs looking for medical supplies. Alabama currently provides incontinence products for both children and adults as one of the medically necessary items under its Medicaid coverage.

alabama medicaid for adults