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Alabama Medicaid

(VM040)
Friday, September 24, 2021
The Alabama Medicaid Agency is aware of a reimbursement recoupment from some providers on the 9/10/2021 check write for COVID-19 testing. This action was triggered by retroactive application of a change in the Medicare rate. A reversal of the 9/10/2021 recoupment is to be included in the 10/01/21 check write with repayment to providers occurring on or before October 12, 2021. We are reviewing the testing reimbursement rates and will provide advance notice if additional changes will be required. We apologize for the inconvenience.

Attention ACHN Participating Providers: The deadline to submit PCMH attestation for FY2022 is October 1, 2021. ALL interested PCP Groups must attest to the Agency no later than October 1, 2021.

At the onset of the COVID-19 pandemic, Medicaid temporarily ceased revalidation for providers. Medicaid has now resumed revalidation for providers. Affected providers may contact the Gainwell Provider Enrollment Unit at 1-888-223-3630 and speak to a Provider Enrollment Specialist. To learn more about the revalidation process please visit https://medicaid.alabama.gov, select the 'Providers' Tab, then click on the 'Provider Enrollment' Link to view details.

Attention TCM Agencies: Effective 7/14/2021, Providers will begin using the new TCM PA Transfer forms available under the Trade Files -> Forms menu option in the Provider Web Portal. This digital process has replaced the current Form 385 to expedite the transfer of a TCM PA from one Agency to another. Please refer to the Provider ALERT dated 6/28/2021 for detailed information.

All previously published expiration dates related to the Coronavirus (COVID-19) emergency are once again extended by the Alabama Medicaid Agency. The new expiration date is the earlier of October 31, 2021, the conclusion of the COVID-19 National emergency, or any expiration date noticed by the Alabama Medicaid Agency through a subsequent ALERT. A listing of previous Provider ALERTs and notices related to the health emergency is available by selecting the Agency's COVID-19 page in the bottom section: https://medicaid.alabama.gov/news_detail.aspx?ID=13729

Welcome to the Alabama Medicaid Interactive web site!

  • This site is intended for providers, clerks, and trading partners.

  • The secure site gives providers, clerks and billing agents the opportunity to view Claim and Prior Authorization status as well as Eligibility Verification inquiries and to upload and download standard X12 and NCPDP transactions.

  • To proceed with logging into the secure site, go to Account >> Secure Site.

  • Use of this network is restricted to authorized users only. User activity may be monitored and/or recorded. Anyone using this network expressly consents to such monitoring and/or recording. BE ADVISED: if possible criminal activity is detected, these records, along with certain personal information, may be provided to law enforcement officials.

  • For additional information regarding Alabama Medicaid policies, procedures and contact information please refer to the Alabama Medicaid Agency web site at http://www.medicaid.alabama.gov/.

  • For additional information regarding Provider EFT or ERA, including but not limited to enrollments, updates and reassociation please refer to the link below: http://medicaid.alabama.gov/content/10.0_Contact/10.3_Provider_Contacts/
    10.3.4_Provider_Enrollment.aspx