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ALABAMA MEDICAID AGENCY POLICY AND
Submit to the OA nurse consultant the HCBS-1 application which should include a new assessment on page 1, 2, and a new care plan on page 4, and a copy of the
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ub-04 billing guidelines
ALP providers who choose to submit their claims on paper forms must use the Centers for Medicare and Medicaid Services (CMS) standard UB-04 claim form. To view
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Forms for Medicaid Applicants and Recipients
A variety of online and paper forms are available to applicants, recipients and sponsors. For help in applying for Medicaid, contact 1-800-362-1504.
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