If you are a provider of medical services and wish to receive Medicaid reimbursement you must complete the required Medicaid provider enrollment application and enter into a written provider agreement with the Alabama Medicaid Agency. Federal requirements mandate providers to re-enrollment periodically with the Alabama Medicaid program. Providers will be notified when they are scheduled to re-enroll.
For further provider enrollment forms and information please click here.
All reimbursements continue to be processed through Alabama Medicaid Agency.
The Quality Improvement program interfaces with providers regarding opportunities to improve effectiveness and efficiency through continuous monitoring of appropriate utilization of services and evidence based quality metrics. These programs are linked to customer service, member satisfaction, case management utilization, clinical risk management and delegate oversight areas.
The program encompasses all aspects of the physical health and LTSS delivery systems including:
Aging and Disability Resource Centers (ADRCs) are part of a national initiative put in place by the Administration for Community Living to provide access to information and assistance for older adults, individuals with disabilities and their caregivers. The ADRC acts as a no wrong door for those needing assistance by providing benefits screening, education and options counseling on long term services and supports. It is also an entry point for professionals, caregivers, and family members to seek resources and assistance on behalf of their clients, friends or family members. All callers are screened for assistance utilizing a universal screening tool that prevents the caller from having to give the information numerous times. Referrals are made on behalf of the individual needing assistance and follow-up is provided for quality assurance. The ADRC will offer extended assistance to those who choose an advocate to assist with application for services and benefits. ADSS strives to support individuals with the tools they need to make informed decisions and maintain their independence in the community of their choice.
For more information please click here.
Contact your local Area Agency on Aging (AAA) and Aging & Disability Resource Center (ADRC) at 1-800-AGE-LINE (1-800-243-5463)
|Northwest Alabama Council of Local Government||256-389-0590 256-389-0500||103 Student Drive
Muscle Shoals, AL 35661
|Colbert, Franklin, Lauderdale, Marion, Winston|
|West Alabama Regional Commission||205-333-2990||4200 Highway 69 North Suite 1
Northport, Al 35476
|Bibb, Fayette, Greene, Hale, Lamar, Pickens, Tuscaloosa|
|Middle Alabama Area Agency on Aging||205-670-5770 866-570-2998||209 Cloverdale Circle
Alabaster, AL 35007
|Blount, Chilton, Shelby, St. Clair, Walker|
|Regional Planning Commission of Greater Birmingham||205-623-3551||2 20th Street North, Suite 1200
Birmingham, AL 35203
|East Alabama Regional Planning and Development Commission||256-237-6741||Quintard Tower, Suite 300
1130 Quintard Avenue
Anniston, AL 36201
|Calhoun, Chambers, Cherokee, Clay, Cleburne, Coosa, Etowah, Randolph, Talladega, Tallapoosa|
|South Central Alabama Development Commission||334-244-6903|| 5900 Carmichael Place
Montgomery, AL 36117
|Bullock, Butler, Crenshaw, Lowndes, Macon, Pike|
|Alabama Tombigbee Regional Commission||877-777-4234 334-682-4234||107 Broad St.
Camden, AL 36726
|Choctaw, Clarke, Conecuh, Dallas, Morengo, Monroe, Perry, Sumter, Washington, Wilcox|
|Southern Alabama Regional Council on Aging||800-239-3507 334-793-6843||1075 S. Brannon Stand Road
Dothan, AL 36305
|Barbour, Coffee, Covington, Dale, Geneva, Henry, Houston|
|South Alabama Regional Planning Commission||800-243-5463 251-433-6541||110 Beaureguard St., Suite 207
Mobile, AL 36602
|Baldwin, Escambia, Mobile|
|Central Alabama Aging Consortium||334-240-4680||818 Perry St.
Montgomery, AL 36104
|Autauga, Elmore, Montgomery|
|Lee-Russell Council of Governments||334-749-5264 334-528-9213||2207 Gateway Dr.
Opelika, AL 36801
|North Central Alabama Regional Council of Governments||256-355-4515 or 800-682-8604||216 Jackson St SE
Decatur, AL 35601
|Cullman, Lawrence, Morgan|
|Top of Alabama Regional Council of Governments||256-830-0818||5075 Research Dr. NW
Huntsville, Al 35805
|DeKalb, Jackson, Limestone, Madison, Marshall|
Non-Emergency Transportation (NET) will be provided to those Medicaid recipients who are being transported to an appointment for a Medicaid covered service. The appropriate mode of transportation should be based on the mobility impairments and special needs of the recipient. Further information regarding NET can be found here.
Approximately three of every four nursing home patients in Alabama are covered by the Alabama Medicaid Agency. In order to qualify for nursing home care, patients must meet medical, financial and other requirements. A Long Term Care Ombudsman program is available to assist patients and families in resolving problems or concerns with a particular nursing facility. A list of nursing facilities located throughout Alabama can be found here.
All Medicaid approved providers who provide home and community-based services in Medicaid recipient's home shall report incidents of abuse, neglect, and exploitation immediately to the Department of Human Resources, or law enforcement as required by the Alabama Adult Protective Services Act of 1976.
Other incidents such as falls must be reported within 24 hours to ASN or the members Case Manager (or supervisor) either verbally or electronically (email).Critical incidents can also be reported verbally to the Support Center by contacting the toll free service line at 1-855-288-7755. The Support Center will identify the member's assigned Case Manager and warm transfer the call to the appropriate Case Manager or Case Manager Supervisor to begin documentation of the incident.
If you would like to visit an agency in person, please find the nearest Area Agency on Aging location to you. Call 1-800-AGELINE (1-800-243-5463) to reach the Area Agency on Aging and Aging and Disability Resource Center that serves your county or visit http://www.alabamaageline.gov/area-agency.html for further contact information.
All Nursing Facilities (NF) must ensure that all alleged violations and known or witnessed incidents, such as mistreatment, neglect, or abuse (including injuries of unknown source) and misappropriation of resident property, are reported within 24 hours to the administrator of the facility and to the Alabama Department of Public Health, in accordance with State law through the ADPH Incident Reporting System. NFs must also report any reasonable suspicion of a crime committed against a resident of that facility. Those reports must be submitted to at least one law enforcement agency (with jurisdiction where the facility is located) and the Alabama Department of Public Health within 2 hours of occurrence if the suspected incident causes serious bodily injury.
NFs must investigate these allegations and report the results of the investigation within 5 days to the administrator of the facility and The Alabama Department of Health, and if the alleged violation is verified, appropriate corrective action must be taken.