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In many cases, a referral to another doctor or clinic is needed for services or care. Referrals are used in the ACHN, EPSDT, Case Management and Lock-In programs, among others.
Whether or not someone is in school does not matter as far as Medicaid coverage, which ends for most children at age 19.
Commissioner of the Department of Mental Health Governor Ivey appointed Kim Boswell as commissioner of the Alabama Department of Mental Health on December 16, 2020. Boswell has over 36 years of experience working with individuals with mental illness, substance abuse disorders and developmental disabilities.
To become certified, prospective providers must go through a multi-phase orientation and application process, demonstrating compliance with standards outlined in the Alabama Administrative Code for developmental disability, mental illness, and/or substance use disorder services.
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.
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If it has been in the last month, you can either talk to your case worker or call the 1-800-362-1504 help line and ask them to update your record. If its been longer than 6-8 weeks, you will need to reapply for Medicaid. The best way to do this is to apply online at .
REMINDER: Alabama Medicaid requires all claims be submitted electronically. The only time a provider should submit a paper claim is for administrative review or other exceptions previously outlined. If you have any questions, please contact the Provider Assistance Center at 1-800-688-7989.
Income cannot exceed $1,549 per month for an individual. Income cannot exceed $2,080 per month for a couple. NOTE: The resource limits do not apply for The Medicare Savings Program. If both spouses are on Medicare, their combined income cannot exceed the couple income limit.
The following procedure codes apply when filing claims for home health services. Medicaid requires all claims for home health providers to be filed within one year of the date of service. Refer to Chapter 5, for general claims filing information and instructions.
Phone Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905. Choose English or Spanish. Choose option 2. The person you speak with can help you find out if you have Medicaid or not.

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