|
Important Information for Alabama
Medicaid Providers
Claims-Filing Information for
Providers Serving Evacuees
Alabama Medicaid providers
furnishing medically-necessary services or
supplies to hurricane evacuees with
temporary coverage should know the following
key points:
-
To verify eligibility, providers should ask
patients if they have a temporary Alabama
evacuee Medicaid letter/card. This temporary
card is a screen print on a sheet of paper.
Evacuees will not receive a plastic Medicaid
card.
Click here to see an example of the Alabama
evacuee Medicaid letter/card
-
Claims for patients with temporary Alabama
Medicaid coverage should be filed only to
Alabama Medicaid, even if the patient also
has proof of Medicaid coverage in another
state. This means that if an evacuee from
Louisiana or Mississippi presents a Medicaid
card from his or her home state and
an evacuee paper card from Alabama,
providers should bill using the information
on the Alabama evacuee card.
-
If a claim is filed to Alabama Medicaid,
DO NOT bill the other state for the same
services. Evacuees' Louisiana or
Mississippi Medicaid coverage is not secondary coverage.
This process was set up to assist providers and
evacuees in providing and obtaining needed
medical services. To bill the other state
would be fraudulent.
-
Alabama providers
will still need to enroll with and file
claims to the appropriate state Medicaid
program for those evacuees who do not apply
for the temporary coverage in Alabama.
Please note that providers will be paid
based on out-of-state coverage policies
established by the Medicaid programs in
those states.
Verifying
Eligibility For Hurricane Evacuees
Special Information
About Verifying Evacuee Eligibility
To verify eligibility, providers should
ask evacuee patients if they have a
temporary Alabama evacuee Medicaid
letter/card. Providers should be aware that
some evacuees will have a temporary paper
letter/card AND a Medicaid card from
Louisiana or Mississippi Medicaid.
(Note: Claims for patients with temporary Alabama
Medicaid coverage should be filed only to
Alabama Medicaid, even if the patient also
has proof of coverage in another state.)
Important Note: Hurricane Katrina
evacuees approved for temporary Medicaid
coverage will not receive a plastic
Medicaid card, but a paper letter/card.
Please be aware that some paper cards may
show eligibility through the end of the
month. If this occurs, providers are asked
to disregard that information since
eligibility for evacuees is expected to
continue through the end of the year. As
always, it is essential that Alabama
Medicaid providers check eligibility at the
time of service.
As a result of Hurricane Katrina, the Alabama Medicaid
Agency is allowing out of state providers
not enrolled in the Alabama Medicaid Program
the ability to verify eligibility for
Alabama Medicaid recipients via our
Automated Voice Response System (AVRS).
The Alabama Medicaid Automated Voice
Response System (AVRS) enables providers
to access information regarding recipient
eligibility. Bordering states should dial
(800) 727-7848. States not bordering Alabama
may access the AVRS by dialing 334) 215-0111
and pressing 5 after the prompt.
-
Click here for more specific
instructions on using Alabama's AVRS
system.
-
Click here to see specific
information about the regular Alabama
Medicaid ID card
-
Click here
to see an example of a temporary
Alabama Medicaid ID (paper
letter/card)
Note to all Providers:
New Recipient County Codes have been
assigned to Hurricane Katrina Evacuees who
are enrolled in the Alabama Medicaid
Program.
90 – ALABAMA (Katrina Evacuee)
91 – MISSISSIPPI (Katrina Evacuee)
92 – LOUISIANA (Katrina Evacuee)
Provider Enrollment - Special
Circumstances
A special expedited enrollment process and
forms have been developed for out-of-state
providers furnishing medical services to
Alabama Medicaid recipients and for dental
providers displaced by Hurricane Katrina.
Click here to learn more about enrolling
with Alabama Medicaid
Alabama State Board of Medical Licensure
Information on Licensure in Alabama for
Physicians Displaced by Hurricane Katrina
Alabama Medicaid Contact Numbers:
Nursing Home Services – (334)
242-5684
Pharmacy Services – (334) 242-5050
Medical Services – (334) 353-5533
Alabama Medicaid Recipient Inquiry
Unit - (800) 362-1504
Agency Contact List
Printable Poster with Toll-Free Numbers
(PDF)
Helpful Links:
Alabama Medicaid Provider Manual
Alabama Medicaid Eligibility Information
Mississippi Medicaid Home Page
Louisiana Medicaid Website
Texas Medicaid Contact Center
Click here for news updates from
alabama.gov, the official
website of the State of Alabama.
|