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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.
No. Medicaid coverage does not transfer from state to state. In order to be eligible for Medicaid in Alabama you cannot be eligible in another state. Once residence is established in Alabama, Medicaid in the other state would need to be terminated so that you can apply for Alabama Medicaid.
Agency Details Website: Centers for Medicare and Medicaid Services (CMS) Contact: Contact the Centers for Medicare and Medicaid Services (CMS) Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.
The Medicaid Group Billing ID can be found on your Alabama Medicaid Financial Remittance Advice (RA) or your Alabama Medicaid Welcome Letter. If further assistance is needed with determining your Medicaid Group Billing ID, please contact Provider Enrollment at 1- 888-223-3630.
Under Medicare Advantage, services requiring prior authorization typically include durable medical equipment, prescription drugs, and skilled nursing facility stays.
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What Procedures or Tests Typically Require Prior Approval? Diagnostic imaging such as MRIs, CTs and PET scans. Durable medical equipment such as wheelchairs, at-home oxygen and patient lifts. Infusion therapy. Inpatient procedures. Skilled nursing visits and other home health care.
What do I need to do? Most specialists require a referral from your primary care provider. Contact your primary care provider to obtain a referral to a specialist.
You can use the number on your Medicaid approval letter until you get your card. Providers may be able to enter your Social Security Number to locate your card number. You can call 1-800-362-1504 for help.
Income cannot exceed $1,153 per month for an individual. Income cannot exceed $1,546 per month for a couple. SLMB or Specified Low Income Medicare Beneficiary (effective 2/2022):
Contacts for Providers Main Address301 Technacenter Drive, Montgomery, AL 36117Provider Assistance Center(800) 688-7989 (Nationwide Toll-Free)Provider Enrollment(888) 223-3630 (Nationwide Toll-Free)6 more rows

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