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ADA Block No ADA Description Alabama Medicaid Use Guidelines

ADA Block No ADA Description Alabama Medicaid Use Guidelines 2025

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The document provides detailed guidelines for completing the ADA claim form for Alabama Medicaid, including sections on patient information, insurance coverage, procedure details, billing codes, and provider identification. It outlines specific instructions for entering data related to prior authorization, tooth surfaces, procedure codes, fees, and necessary signatures.

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What is the asset limit for Medicaid in Alabama?

NOTE: A lien may be required. The resource limit for Nursing Home, Hospital, and ICF-IID Medicaid is $2,000 before the first day of the month. This means that in order to be eligible for Medicaid you must not have more than $2,000 in resources on the first day of any given month.

Does Alabama Medicaid require prior authorization?

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.

Does Medicaid have to be paid back in Alabama?

Federal law requires Alabama to seek repayment for the cost of all long-term care services paid for by Medicaid, including related drug and hospital benefits.

What is the best way to spend down assets for Medicaid?

Medicaid allows individuals to retain their primary residence, one vehicle, furniture, and personal property. Upgrading or improving these items is a great way to spend down assets for Medicaid and ensure the spouse at home has what they need to continue living comfortably at home and age in place. Pay off debts.

What assets are exempt from Medicaid?

In general, the following are the primary exempt assets: Home, no matter what its value. Personal belongings and household goods. One car or truck. Income-producing real estate. Burial spaces and certain related items for applicant and spouse. Up to $1,500 designated as a burial fund for applicant and spouse.

Does Alabama Medicaid cover telehealth?

Does Alabama Medicaid cover braces? Alabama Medicaid does not cover orthodontics (braces) except under certain conditions. Services must be received through Childrens Rehabilitation Services (CRS) or another qualified clinic enrolled as a contract vendor with Alabama Medicaid.

What is the spend down rule for Medicaid in Alabama?

Spend-Down of Money. Medicaid looks at resources on the first moment of the first day of the month. The countable resource limit for an individual is $2,000. If the total value of the couples countable assets is $27,000 or less, spend down of the assets for the institutionalized spouse will not be required.

ADA Block No ADA Description Alabama Medicaid Use Guidelines 2025

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