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Provider Manual

 
October 2006 Provider Manual (PDF)
 


Chapter 1 Introduction


Chapter 2
Becoming a Medicaid Provider

Chapter 3
Verifying Recipient Eligibility

Chapter 4
Obtaining Prior Authorization
Chapter 5
Filing Claims
Chapter 6
Receiving Reimbursement

Chapter 7
Understanding Your Rights and Responsibilities as a Provider

Chapter 8
Ambulance (Ground & Air)
Chapter 9
Ambulatory Surgical Centers (ASC)
Chapter 10
Audiology/Hearing Services
Chapter 11
Chiropractor
Chapter 12
Comprehensive Outpatient Rehabilitation Facility (CORF)

Chapter 13
Dentist

Chapter 14
Durable Medical Equipment (DME)

Chapter 15
Eye Care Services
Chapter 16
Federally Qualified Health Centers (FQHC)
Chapter 17
Home Health
Chapter 18
Hospice
Chapter 19
Hospital
Chapter 20
Independent Laboratory
Chapter 21
Independent Certified Registered Nurse Practitioner (CRNP)
Chapter 22
Independent Radiology
Chapter 23
Licensed Social Workers
Chapter 24
Maternity Care Program

Chapter 25
Nurse Midwife
Chapter 26
Nursing Facility
Chapter 27
Pharmacy
Chapter 28
Physician
Chapter 29
Podiatrist
Chapter 30
Preventive Health Education
Chapter 31
Private Duty Nursing
Chapter 32
Provider-Based Rural Health Clinics
Chapter 33
Psychiatric Hospital
(Under 21)
Chapter 34
Psychologist
Chapter 35
Renal Dialysis Facility
Chapter 36
Rural Health Clinics/Independent
Chapter 37
Therapy (Occupational, Physical, and Speech)
Chapter 38
Anesthesiology
Chapter 39
Patient 1st Billing Manual
Chapter 100
Children's Specialty Clinics
Chapter 101
County Health Departments
Chapter 102
Intermediate Care Facility for the Mentally Retarded (ICF-MR)
Chapter 103
Local Education Agencies (LEAs)
Chapter 104
Psychiatric Hospital
(Recipients 65 and Over)
Chapter 105
Rehabilitative Services - DHR, DYS, DPH, DMH
Chapter 106
Targeted Case Management
Chapter 107
Waiver Services
Chapter 108
Early Intervention

Appendix A
Well Child Check-Up (EPSDT)

Appendix B
Electronic Media Claims (EMC) Guidelines
Appendix C
Family Planning
Appendix D
Reserved
Appendix E
Medicaid Forms(EPSDT)
Appendix F
Medicaid Internal Control Numbers (ICN)
Appendix G
Non-Emergency Transportation (NET) Program
Appendix H
Alabama Medicaid Physician Drug List
Appendix I
Outpatient Hospital/ASC Procedure List
Appendix J
Provider Explanation of Benefits (EOB)
Appendix K
Top 200 Third Party Carrier Codes
Appendix L
AVRS Quick Reference Guide
Appendix M
Reserved
Appendix N
Alabama Medicaid Contact Information
Appendix O
CRNP and PA Services

 Appendix P
Durable Medical Equipment (DME) Procedure Code and Modifiers
Index


Provider Alerts

 
Provider Insiders
Alabama Medicaid Contact Information

 

EOP Mini Messages Administrative Code

Provider Electronic Solutions Manual

Provider Electronic Solutions
Initial Install Instructions

 


Provider Electronic Solutions
Upgrade Instructions
Download Entire Manual WebUser Manual Summary of Changes in October 2006 Manual

Alabama Medicaid Glossary of Terms
     

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