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Alabama Medicaid

Sunday, January 23, 2022
Attention all Providers: Changes described in the Alert dated November 5, 2021, regarding the replacement of Claim Adjustment Reason Code (CARC) 45 with CARC (96) will not be implemented. As a result, Alabama Medicaid will continue using CARC Code 45 to indicate pricing adjustments to payments due to fee schedules/allowed amounts. Please refer to the Provider ALERT dated 12/14/2021 for detailed information.

Attention all Providers: Effective December 28, 2021, Alabama Medicaid will implement changes to the 271 Eligibility and Benefit Response transaction to ensure compliance with the Committee on Operating Rules for Information Exchange (CAQH CORE) for returning corrected last names. Please refer to the Provider ALERT dated 11/05/2021 for detailed information.

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, select the 'Providers' Tab, then click on the 'Provider Enrollment' Link to view details.

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 January 31, 2022, 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:


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