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Medicaid/CHIP Data Requirements in Alabama

 

Medicaid/CHIP Data Requirements in Alabama

Subtopic Statute/Regulation Description
Confidentiality of Medicaid data (including penalties for violating confidentiality) Confidentiality, Ala. Admin. Code r. 560-X-35.12
Confidentiality, Ala. Admin. Code r. 560-X-36-.10
Confidentiality, Ala. Admin. Code r. 560-X-40-.07
Confidentiality, Ala. Admin. Code r. 560-X-44-.09
Confidentiality, Ala. Admin. Code r. 560-X-54-.08
Confidentiality, Ala. Admin. Code r. 560-X-57-.12
Confidentiality, Ala. Admin. Code r. 560-X-58-.09
Confidentiality, Ala. Admin. Code r. 560-X-61-.08
Home and community based living: Confidentiality, Ala. Admin. Code r. 560-X-52-.11
Hospice care: confidentiality, Ala. Admin. Code r. 560-X-51-.14
Medicaid Preferred Drug Plan, Ala. Code § 22-6-124
Medicaid rehab services: confidentiality, Ala. Admin. Code r. 560-X-47-.10
Medicaid: Confidential Materials, Ala. Admin. Code r. 560-X-27-.01
Medicaid: Confidential materials, Ala. Admin. Code r. 560-X-27-.02
Preventative health education: confidentiality, Ala. Admin. Code r. 560-X-50-.07
Brief description of each state’s Medicaid program (Name and unique characteristics) Consent for health services for certain minors, Ala. Admin. Code r. 560-X-1-.08
Medicaid Long term care: resident rights, Ala. Admin. Code r. 560-X-10-.14
Medicaid: Recipient Rights and Responsibilities, Ala. Admin. Code r. 560-X-1-.07
Mandatory reporting by Medicaid providers (cost/utilization information) Cost Reports, Ala. Admin. Code r. 560-X-60-.13
FQHC: Cost Reports, Ala. Admin. Code r. 560-X-56-.15
Medicaid: Annual Report, Ala. Admin. Code r. 560-X-16-.29
Medicaid: Quality Assurance Committee, Ala. Code § 22-6-154
Quality assessment and performance improvement, Ala. Admin. Code r. 560-X-53-.13
Medicaid medical records maintenance by providers (including retention period, storage, and other recordkeeping requirements) Data collection, record maintenance, report, Ala. Admin. Code r. 560-X-53-.15
Maintenance of records, Ala. Admin. Code r. 560-X-61-.09
Medicaid long term care: transfer and discharge rights, Ala. Admin. Code r. 560-X-10-.26
Preventative health education: maintenance of records, Ala. Admin. Code r. 560-X-50-.08
Other Federal and State Monitoring, Ala. Admin. Code r. 560-X-53-.14
FQHC: Negligence and Fraud Penalties, Ala. Admin. Code r. 560-X-56-.18
Informing Beneficiaries of Choice, Ala. Admin. Code r. 560-X-58-.06
Informing Individuals of Choice, Ala. Admin. Code r. 560-X-54-.11
Interdisciplinary team, Ala. Admin. Code r. 560-X-53-.09
Medicaid Maternity Care Program: Care coordination, Ala. Admin. Code r. 560-X-45-.11
Negligence and Fraud Penalties, Ala. Admin. Code r. 560-X-60-.16
Participants rights, Ala. Admin. Code r. 560-X-53-.08
Access to Medicaid data (by patients, providers, and government agencies) Home and community based living: Records, Ala. Admin. Code r. 560-X-52-.12
Information Release-- Medicaid, Ala. Code § 22-11B-3
Medicaid Preferred Drug Plan, Ala. Code § 22-6-124
Medicaid rehab services: records, Ala. Admin. Code r. 560-X-47-.11
Records, Ala. Admin. Code r. 560-X-40-.08
Records, Ala. Admin. Code r. 560-X-44-.10
Records, Ala. Admin. Code r. 560-X-54-.09
Records, Ala. Admin. Code r. 560-X-58-.10
Quality reporting by Medicaid providers (cross post to care coordination/care management (chronic disease management; sharing information across providers; enrollee participation) Medicaid Long term care: quality of care, Ala. Admin. Code r. 560-X-10-.24
Medicaid Maternity Care Program: Complaints and Grievances, Ala. Admin. Code r. 560-X-45-.07
Medicaid Maternity Care Program: Quality Improvement, Ala. Admin. Code r. 560-X-45-.09
Medicaid: Assuring High Quality Care, Ala. Admin. Code r. 560-X-2-.01
Medicaid: Quality Assurance Committee, Ala. Code § 22-6-154