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It is a practical guide for providers who participate in the Medicaid

It is a practical guide for providers who participate in the Medicaid 2025

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The Alabama Medicaid Provider Manual serves as a practical guide for healthcare providers participating in the Alabama Title XIX Medicaid Program, detailing processes for reimbursement, eligibility verification, claims filing, and provider responsibilities. It is organized into three parts: Provider Information, Alabama Medicaid Services, and Appendices. The manual also offers guidance on using both paper and online versions, including features like search capabilities and update tracking.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the timely filing limit for Medicare corrected claims?

A: Per Medicare guidelines, claims must be filed with the appropriate Medicare claims processing contractor no later than 12 months (one calendar year) after the date of service (DOS). Claims must be processed (paid, denied, or rejected) by Medicare to be considered filed or submitted.

Does Alabama Medicaid cover home health care?

The Bureau of Home and Community Services is the parent agency for the statewide Medicare/Medicaid Certified Home Health Program that serves all Alabama counties. Home health care services are provided for homebound patients who meet eligibility requirements.

What is the limit for Medicaid in Alabama?

Income Asset Limits for Eligibility 2025 Alabama Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingle Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $2,000 Medicaid Waivers / Home and Community Based Services $2,901 / month $2,0001 more row 6 days ago

What is Medicare AL timely filing limit?

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided unless an exception applies. If a claim isnt filed within this time, Medicare wont pay its share.

What is the timely filing limit for Medicaid corrected claims in Alabama?

Generally, Medicaid requires all claims to be filed within one year of the date of service; however, some programs have different claims filing time limit limitations. Refer to your particular provider type program chapter for clarification.

How does Medicaid work in Alabama?

More than a million Alabamians each year qualify for full or partial Medicaid coverage. To qualify for Medicaid, applicants must meet income, age or other requirements; provide proof of income and other information, fill out forms correctly and turn in a completed application to the correct office or worker.

How do I contact Alabama Medicaid provider enrollment?

For help enrolling as a Medicaid provider, contact 1(888) 223-3630 or (334) 215-0111.

What is the timely filing limit for health net corrected claims?

If a claim is not submitted within 60 calendar days, or the requested information is not returned to Health Net within 60 calendar days, the claim will be denied.

It is a practical guide for providers who participate in the Medicaid 2025

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