Ala. Code §§ 22-6-1 through 22-6-7: Medicaid Program — General Provisions – Alabama
Status: Enacted Year Enacted: 1976
Copayments of all persons eligible to receive Medicaid. The Medicaid Agency of the State of Alabama is authorized to contract, for periods not to exceed seven years, with one or more fiscal intermediaries for the …
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Ala. Code §§ 22-6-150 through 22-6-164: Medicaid Agency, Delivery of Services on Managed Care Basis through Regional Care Organizations – Alabama
Status: Enacted Year Enacted: 2013
Statutes relate to the delivery of care through the Medicaid system, including quality assurance, contracts with providers, coverage of beneficiaries and exemption from state and federal anti-trust laws.
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Ala. Code §§ 22-6-220 through 22-6-237: Medicaid Program — Integrated Care – Alabama
Status: Enacted Year Enacted: 2015
Statutes relate to the delivery of Medicaid through an integrated care network. Statutes include measures to assure quality such as advisory and quality assurance committees, minimum provider reimbursements, cost containment mechanisms such as risk contracts, …
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Ala. Code §§ 22-6-90 through 22-6-92: Medicaid Revenue Use Act – Alabama
Status: Enacted Year Enacted: 2002
Partnership hospital program – The Medicaid managed care program for the provision of inpatient care in this state
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Ala. Code §§ 27-1-1 through 27-1-10, 27-1-12: Alabama Insurance Code – Alabama
Status: Enacted Year Enacted: 1971
General provisions including definition and applicability of the Alabama Insurance Code; any willing provider law for chiropractic services, definitions, applicability.
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Ala. Code §§ 27-1-16 through 27-1-19: Alabama Insurance Code – Alabama
Status: Enacted Year Enacted: 1981
Provisions regarding standard health insurance claim form and provider reimbursement and payment.
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Ala. Code §§ 27-12-1 through 27-12-8, 27-12-16 through 27-12-22: Trade Practices Law – Alabama
Status: Enacted Year Enacted: 1957
Statutes regulate trade practices in the business of insurance and prohibit unfair or deceptive acts of practice that could result in a monopoly or an unreasonable restraint of trade. Statutes provide procedures for enforcing fair …
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Ala. Code §§ 27-13-1 through 27-13-6: The Rating Law – Alabama
Status: Enacted Year Enacted: 1971
Statutes regulate insurance rates so they are not “excessive, inadequate or unfairly discriminatory“ and “to authorize and regulate cooperative action among insurers in rate-making.“ The Alabama Department of Insurance (ALDOI) regulates rates with respect to …
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Ala. Code §§ 27-21-1 through 27-21-6: Alabama Health Care Plan – Alabama
Status: Enacted Year Enacted: 1971
The Legislature of Alabama takes cognizance of the existence of many Alabama citizens who are unable to obtain adequate health care protection by reason of economic, physical, or other related causes. It is the purpose …
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Ala. Code §§ 27-21A-1, 27-21A-7 through 27-21A-9, 27-21A-24: Health Maintenance Organizations – Alabama
Status: Enacted Year Enacted: 1986
Statutes prevent a person from acquiring control of an HMO and from entering into an agreement to merge or consolidate or otherwise acquire control of an HMO without filing the proper information with the insurance …
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Ala. Code §§ 27-21A-29 through 27-21A-32: Health Maintenance Organizations – Alabama
Status: Enacted Year Enacted: 1986
A health maintenance organization is entitled to coordinate benefits on the same basis as an insurer. No such coordination shall be allowed against policies covering individuals on other than a group basis. There shall be …
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Ala. Code §§ 27-29-1 through 27-29-3.1: Alabama Insurance Holding Company System Regulatory Act – Alabama
Status: Enacted Year Enacted: 1973
Statutes provide procedures required for mergers and acquisitions of a domestic insurer and allow the commissioner to enter cease and desist orders when the commissioner makes a finding that the effect of such a merger …
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Ala. Code §§ 27-2A-1 through 27-2A-4: Alabama Disclosure of Material Transactions Act – Alabama
Status: Enacted Year Enacted: 1996
Statutes require Insurer to file a report with commissioner disclosing material acquisitions and dispositions of assets or material nonrenewals and define the materiality, scope and requisite information to be reported and the exemptions.
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Ala. Code §§ 27-3A-1 through 27-3A-6: Health Care Service Utilization Review Act – Alabama
Status: Enacted Year Enacted: 1994
Statutes set out the purpose of the Health Care Service Utilization Review Act, provide definitions and provide minimum standards that utilization review agents must adhere to.
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Ala. Code §§ 27-46-1 & 27-46-2: Certified Registered Nurse Anesthetist Coverage – Alabama
Status: Enacted Year Enacted: 1989
Notwithstanding any other provision of law, when any contract or plan of health insurance, or any plan or agreement for health care services provides for the reimbursement or payment for services which are within the …
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Ala. Code §§ 27-49-1 through 27-49-5: Women’s Access to Health Care Act – Alabama
Status: Enacted Year Enacted: 1996
Each health benefit plan shall allow obstetricians and gynecologists as primary care physicians. This statute does not require obstetricians or gynecologists to accept designation as a primary care provider if they do not wish to …
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