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Inpatient Hospital Quality Assurance Program - Medicaid alabama - medicaid alabama

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The document is an Invitation to Bid (ITB) issued by the Alabama Medicaid Agency for a Quality Improvement Organization (QIO) to oversee inpatient hospital quality assurance services. It outlines the requirements for bidders, including qualifications, submission guidelines, and evaluation criteria. The contract will last for two years with options for extensions, and it mandates compliance with federal and state regulations. Key responsibilities include conducting utilization reviews, ensuring adherence to admission criteria, and submitting regular reports on findings. The document emphasizes the importance of confidentiality and proper handling of sensitive information.

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What does Medicaid not cover in Alabama?

Below is a partial listing of some goods and services that are not covered by Medicaid in Alabama. Medicaid will NOT pay for: Cosmetic surgery or procedures. partials, dentures or bridgework, gold caps or crowns, or periodontal or gum surgery. Hearing services for adults (age 21 and older).

Does Alabama Medicaid cover DME?

Supplies, appliances and Durable Medical Equipment (DME) are a covered Medicaid benefit when medically necessary and suitable for use in the home. Certain types of equipment must be approved prior to use.

What services are covered by Medicaid in Alabama?

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.

What is not covered under Medicaid?

Non-Prescription Drugs and Health Supplements These medicines are available for everyone to buy and arent covered under insurance programs. Similarly, supplements like vitamins, herbal remedies, homeopathic medicines, and OTC medicated creams cannot be purchased using Medicaid funds.

What is Sobra Medicaid Alabama?

1-800-362-1504. A healthcare coverage program that helps pay medical bills for children and teens under age 19 and pregnant women.

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What supplies does Medicaid cover?

Medical Supplies Covered by Medicaid Incontinence Supplies Adult diapers, bladder control pads, and pull-on underwear. Urology Supplies Catheters, collection bags, insertion kits, and lubricant. Wound Care Bandages, gauze, tapes, foams, alginates, and hydrogels.

Does Medicaid cover inpatient hospital stays?

State Medicaid programs are required to cover inpatient hospital services, that is, services and items furnished by a hospital for the care and treatment of a patient.

What services can I get with Medicaid?

Federal law requires states to provide certain mandatory benefits and allows states the choice of covering other optional benefits. Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others.

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