Section 27-48-1 Definitions. As used in this chapter, the following terms shall have the following meanings: (1) HEALTH BENEFIT PLAN. A health insurance policy that covers hospital, medical, or surgical expenses, health maintenance organizations, preferred provider organizations, medical service organizations, physician-hospital organizations, or any other person, firm, corporation, joint venture, or other similar business entity […]
Section 27-48-2 Coverage for medically necessary inpatient care for mother and newly born child. (a) Every health benefit plan that provides maternity coverage shall provide coverage for the following: (1) All medically necessary inpatient care for a mother and her newly born child as determined by the woman’s prenatal care physician, obstetrician-gynecologist, certified nurse midwife, […]
Section 27-48-3 Prohibition against plan termination of services, reduction of capitation payment, or other penalty for health care provider in compliance with chapter; prohibition against financial encouragement of early discharge from postpartum care. No health benefit plan subject to the provisions of this chapter shall terminate the services, reduce capitation payment, or otherwise penalize an […]
Section 27-48-4 Penalties for noncompliance with chapter; suspension or revocation of insurance company or health maintenance organization license. A license issued by the Department of Insurance to an insurance company or a health maintenance organization shall be subject to suspension, revocation, or imposition or other administrative penalty authorized by law, within the discretion of the […]
Section 27-48-5 Applicability of chapter to Alabama Medicaid Agency programs. This chapter shall apply to all programs administered by the Alabama Medicaid Agency. (Acts 1996, No. 96-578, p. 915, §5.)
