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Alabama Medicaid

(VM040)
Saturday, November 27, 2021
Attention all Providers: Effective December 28, 2021, the Alabama Medicaid Agency will replace Claim Adjustment Reason Code (CARC) 45 with a new code to ensure compliance with the Committee on Operating Rules for Information Exchange (CAQH CORE) for combinations reported on the X12 835 Electronic Remittance Advice (RA). Please refer to the Provider ALERT dated 11/05/2021 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 https://medicaid.alabama.gov, 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 November 30, 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