(a) The Medicaid Agency shall determine by rule which groups of Medicaid beneficiaries to include for coverage by an integrated care network. The Medicaid Agency, without the approval of the Governor, shall not make a coverage decision that would affect Medicaid beneficiaries who are directly served by another state agency.
(b) Notwithstanding subsection (a), the current Medicaid long-term care programs shall continue as currently administered by the Medicaid Agency until one or more integrated care networks are fully operational and has entered into a risk contract as provided herein.
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;ยง22-6-220 Through 22-6-234.