The Medicaid Agency may contract for case-management services with an organization that has been granted by the Medicaid Agency a probationary regional care organization certification. If the agency has contracted with such an organization, and that organization on or before October 1, 2016, or a later date established by the Medicaid Agency, has failed to gain full regional care organization certification or has had its probationary certification terminated, then that organization shall refund half the payments, made by the Medicaid Agency to the organization for case-management services, paid over the previous 12 months.
Structure Code of Alabama
Title 22 - Health, Mental Health, and Environmental Control.
Title 1 - Health and Environmental Control Generally.
Article 9 - Delivery of Medical Services.
Section 22-6-150 - Definitions.
Section 22-6-152 - Medicaid Regions.
Section 22-6-154 - Quality Assurance Committee; Collection and Publication of Information.
Section 22-6-155 - Terms of Contracts; Cost Evaluations.
Section 22-6-156 - Contracts With Alternate Care Providers.
Section 22-6-157 - Termination of Regional Care Organization Certification.
Section 22-6-158 - Contracts With Service Providers.
Section 22-6-159 - Implementation of Article.
Section 22-6-160 - Evaluation and Report on Long-Term Care System for Medicaid Beneficiaries.
Section 22-6-161 - Evaluation and Report on Dental Care Program for Medicaid Beneficiaries.
Section 22-6-162 - Case-Management Services.
Section 22-6-164 - Rulemaking Authority.
Section 22-6-165 - Regional Care Organizations Exempt From Certain License Fees.