An integrated care network shall contract with any willing nursing home, doctor, home and community waiver program, or other provider to provide services through an integrated care network if the provider is willing to accept the payments and terms offered comparable providers, where applicable, but in no event less than amounts historically paid by the Medicaid Agency to comparable providers. To the extent that the Medicaid Agency currently calculates and establishes provider-specific rates for any provider category on an annualized basis, it shall continue to calculate and establish such rates and the integrated care network shall be required to offer providers from that category not less than their established rates. Any provider shall meet licensing requirements set by law, shall have a Medicaid provider number, and shall not otherwise be disqualified from participating in Medicare or Medicaid.
Structure Code of Alabama
Title 22 - Health, Mental Health, and Environmental Control.
Title 1 - Health and Environmental Control Generally.
Section 22-6-220 - Definitions.
Section 22-6-221 - Service by Integrated Care Network; Board of Directors.
Section 22-6-222 - Citizens' Advisory Committee.
Section 22-6-223 - Solvency and Financial Requirements.
Section 22-6-225 - Denial of Claims; Grievances and Appeals.
Section 22-6-227 - Quality Assurance Committee; Reporting Requirements.
Section 22-6-228 - Risk Contracts.
Section 22-6-229 - Termination of Certification.
Section 22-6-230 - Rates for Contracting Services; Provider Requirements.
Section 22-6-231 - Implementation of Article.
Section 22-6-232 - Coverage of Medicaid Beneficiaries by Integrated Care Networks.
Section 22-6-234 - Advance Directive for Health Care Options.
Section 22-6-235 - Rulemaking Authority.
Section 22-6-236 - Construction and Application of &Sect;§22-6-220 Through 22-6-234.