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Provider Manual

 

April 2005 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

Appendix A
Well Child Check-Up (EPSDT)

Appendix B
Electronic Media Claims (EMC) Guidelines

Appendix C
Family Planning

Appendix D
Managed Care

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

Alabama Medicaid Glossary of Terms

 

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

 

     

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