Section 40-26B-70 Definitions. For purposes of this article, the following terms shall have the following meanings: (1) ACCESS PAYMENT. A payment by the Medicaid program to an eligible hospital for inpatient or outpatient hospital care, or both, provided to a Medicaid recipient. (2) ALL PATIENT REFINED DIAGNOSIS-RELATED GROUP (APR-DRG). A statistical system of classifying any […]
Section 40-26B-71 Assessment. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) For state fiscal years 2023, 2024, and 2025, an assessment is imposed on each privately operated hospital in the amount of 6.00 percent of net patient revenue […]
Section 40-26B-72 Program administration. (a) The commissioner of the department shall administer the assessment program created in this article. (b)(1) The department shall adopt rules pursuant to the Alabama Administrative Procedure Act to implement this article. (2) Unless otherwise provided in this article, the rules adopted under subdivision (1) shall not grant any exceptions to […]
Section 40-26B-73 Hospital Assessment Account. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a)(1) There is created within the Health Care Trust Fund referenced in Article 3 of Chapter 6 of Title 22 of a designated account known as […]
Section 40-26B-74 Private hospital assessment. (a) Privately operated hospitals shall pay the assessment imposed under this article. (b) If any exemption from the assessment is adjudged to be unconstitutional or otherwise invalid, this article shall be automatically repealed by the finding of unconstitutionality or invalidity. (Act 2009-549, p. 1454, §2.)
Section 40-26B-75 Quarterly notice and collection. (a)(1) The annual assessment imposed under this article shall be due and payable on a quarterly basis during the first 15 business days of each quarter. (2) Notwithstanding subdivision (1), the installment payment of an assessment imposed by this article shall not be due and payable until: a. The […]
Section 40-26B-76 Notice of assessment. (a)(1) The department shall send a notice of assessment to each privately operated hospital informing the hospital of the assessment rate, the hospital’s net patient revenue calculation, and the estimated assessment amount owed by the hospital for the applicable fiscal year. (2) Annual notices of assessment shall be sent at […]
Section 40-26B-77 Hospital certified public expenditures. Repealed by Act 2016-299, §2, effective October 1, 2016. (Act 2009-549, p. 1454, §2; Act 2011-615, p. 1383, §1; Act 2013-246, p. 595, §1.)
Section 40-26B-77.1 Intergovernmental transfers to the Medicaid Agency. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) Beginning on October 1, 2016, and ending on September 30, 2025, publicly owned and state-owned hospitals shall begin making intergovernmental transfers to […]
Section 40-26B-78 Certified public expenditure accounting. (a) Medicaid shall account for those federal funds derived from certified public expenditures by publicly and state-owned hospitals as those funds are received by Medicaid from the federal government. (b) The certified public expenditure accounting shall be separate and distinct from the state General Fund appropriation accounting. (c) Federal […]
Section 40-26B-79 Inpatient Medicaid base payments. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. If the Medicaid Agency begins making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, the agency […]
Section 40-26B-80 Outpatient Medicaid base payments. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. If the Medicaid Agency begins making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, the agency […]
Section 40-26B-81 Medicaid hospital access payments. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) If the Medicaid Agency begins making payments pursuant to Article 9 of Chapter 6 of Title 22, on or before September 30, 2019, to […]
Section 40-26B-82 Effectiveness and cessation. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (a) The assessment imposed under this article shall not take effect or shall cease to be imposed and any moneys remaining in the Hospital Assessment Account […]
Section 40-26B-83 State plan amendment. (a) There is established the Hospital Services and Reimbursement Panel to advise in the development of and approve any state plan amendment which involves hospital services or reimbursement to be submitted to the Centers for Medicare and Medicaid Services. (1) The panel shall consist of six members and be constituted […]
Section 40-26B-84 Federal medical assistance percentage. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. This article shall be of no effect if federal financial participation under Title XIX of the Social Security Act is not available to the Medicaid […]
Section 40-26B-85 Eligibility and benefit expansions. Except for Medicaid expansion under the Affordable Care Act, as amended, if the Medicaid Agency elects to liberalize the eligibility criteria for individuals who apply for Medicaid services or to expand or increase the medical assistance benefits as defined in Title XIX of the Social Security Act which it […]
Section 40-26B-86 Disproportionate share payments. The Social Security Act provides for additional payments to hospitals qualifying as disproportionate share hospitals under Section 1923(d) of that act. Payments to disproportionate share hospitals shall be made to all hospitals qualifying for disproportionate share hospital payments under Section 1923(d) of that act, in addition to any other payments […]
Section 40-26B-87 Exclusion from State General Fund. The Commissioner of the Alabama Medicaid Agency is hereby directed to specifically exclude from the Plan Amendment submitted to the Centers for Medicare and Medicaid Services regarding the Hospital Assessment Program any language or calculations that would incur liability to the State General Fund. (Act 2009-549, p. 1454, […]
Section 40-26B-88 Expiration of article. THIS SECTION WAS AMENDED BY ACT 2022-127 IN THE 2022 REGULAR SESSION, EFFECTIVE OCTOBER 1, 2022. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. This article shall automatically terminate and become null and void by its own terms on September 30, 2025, unless a later act is enacted extending the […]
