Alabama Health Mainte Hmo Requirements

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HMO Requirements Alabama Department of Public …

(1 days ago) WEBHMO Requirements. A Health Maintenance Organization (HMO) seeking a "Certificate of Authority" in Alabama must contact the Department of Insurance (DOI) for an application. Managed Care Compliance Alabama Department of Public Health …

https://www.alabamapublichealth.gov/mcc/hmo-requirements.html

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RULES OF ALABAMA STATE BOARD OF HEALTH …

(9 days ago) WEBUnder and by virtue of authority vested in it by the Legislature of Alabama, Code of Ala., 1975, ''22-2-2(6), et seq., ''22-21-20, et seq., ''27-21A-1, et seq., Health Maintenance …

https://www.alabamapublichealth.gov/mcc/assets/HMORules.pdf

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Alabama Code § 27-21A-32 (2023) - Hmo Enrollment …

(6 days ago) WEBSection 27-21A-32. HMO enrollment requirements. (a) The state government, or any agency, board, commission, institution, or political subdivision thereof, and any city or …

https://law.justia.com/codes/alabama/title-27/chapter-21a/section-27-21a-32/

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ALDOI - HMO FAQs

(9 days ago) WEBAn HMO is an alternative method for the delivery of health care services, with a view toward achieving greater efficiency and economy in providing these services. Health …

https://aldoi.gov/Consumers/HMOFAQ.aspx

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Ala. Admin. Code r. 560-X-37-.04 - Casetext

(Just Now) WEBSection 560-X-37-.04 - Health Maintenance Organizations. (HMO) (1) Health Maintenance Organizations (HMO) means any entity or corporation that …

https://casetext.com/regulation/alabama-administrative-code/title-560-alabama-medicaid-agency/chapter-560-x-37-managed-care/section-560-x-37-04-health-maintenance-organizations-hmo

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Code of Alabama Chapter 21A - HEALTH MAINTENANCE …

(8 days ago) WEBSection 27-21A-3 - Issuance of certificate of authority. Section 27-21A-4 - Powers of health maintenance organizations. Section 27-21A-5 - Governing body. Section 27-21A-6 - …

https://casetext.com/statute/code-of-alabama/title-27-insurance/chapter-21a-health-maintenance-organizations

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Health Maintenance Organizations (HMOs) Medicare

(1 days ago) WEBAn HMO is a type of. Medicare Advantage Plan (Part C) offered by a private insurance company. When you have an HMO, you generally must get your care and services from …

https://www.medicare.gov/health-drug-plans/health-plans/your-coverage-options/HMO

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Alabama Dual Complete® Special Needs Plans

(3 days ago) WEBPoint of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher …

https://www.uhcprovider.com/en/health-plans-by-state/alabama-health-plans/al-medicare-plans/al-dual-complete-snp-plans.html

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Alabama Medicaid Benefits.gov

(7 days ago) WEBMedicaid is a health insurance program for certain low-income and needy people paid with Federal, state, and county dollars. It is the largest program providing medical and health …

https://www.benefits.gov/benefit/1618

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Alabama Health Insurance Laws, Plans and Regulations

(8 days ago) WEBAlabama Health Insurance Guide. Types of plans offered in Alabama include major medical health insurance coverage such as Individual Health Quotes, …

https://www.einsurance.com/insurance-guide/alabama/health-insurance/

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ALDOI - Health Insurance Marketplace - Alabama

(9 days ago) WEBHealth insurance marketplaces (also known as Exchanges) are organized markets for buying health insurance. They offer a choice of different health plans, certify plans that …

https://www.insurance.alabama.gov/Consumers/HealthInsMarketplace.aspx

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Alabama 2024 UHC Dual Complete AL-D001 (HMO-POS D-SNP)

(8 days ago) WEBIf CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. Learn more about the UnitedHealthcare …

https://www.uhc.com/communityplan/alabama/plans/medicare/2024/dual-complete-hmo-pos-snp1

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ALDOI - Legal Bulletins - Alabama

(Just Now) WEBFederal No Surprises Act (NSA) - Health Care Provider, Health Care Facility and Provider of Air Ambulance Services Requirements - Bulletin No. 2022-01 Date: 01/27/2022

https://insurance.alabama.gov/Legal/Bulletins.aspx

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Alabama Medicaid

(Just Now) WEBManaged Care: 3.1-H: Health Homes for Individuals with Chronic Conditions: 3.2-A: Coordination of Title XIX with Part A and Part B of Title XVIII: 3.5-A: Medicaid for …

https://medicaid.alabama.gov/content/9.0_Resources/9.8_State_Plan.aspx

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FREQUENTLY ASKED QUESTIONS ABOUT HEALTH CARE …

(2 days ago) WEBThe Marketplace is the name of Alabama’s health insurance exchange. The ACA created health insurance exchanges as places where individuals, families, and small employers …

https://www.insurance.alabama.gov/PDF/Consumers/HealthCareReformFAQs.pdf

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Alabama Code Title 27. Insurance § 27-1-17 FindLaw

(9 days ago) WEBInsurance /. Alabama Code Title 27. Insurance § 27-1-17. (a) Each insurer, health service corporation, and health benefit plan that issues or renews any policy of …

https://codes.findlaw.com/al/title-27-insurance/al-code-sect-27-1-17/

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Medicaid eligibility and enrollment in Alabama healthinsurance.org

(9 days ago) WEBApply for Medicaid in Alabama. You can find information and apply online; submit paper applications by mail, fax or in person to a district office; or call toll-free 1-800-362-1504. …

https://www.healthinsurance.org/medicaid/alabama/

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Health Rules Boost ACA Standards, Access to Quality Coverage

(5 days ago) WEBThe Biden Administration recently finalized several rules that strengthen Affordable Care Act (ACA) standards and ensure people can enroll in affordable, high …

https://www.cbpp.org/blog/health-rules-boost-aca-standards-access-to-quality-coverage

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Health Provider Standards - Alabama Department of Public Health

(4 days ago) WEBThe complete IIDR Policy is posted here for public information. If questions arise about IDR and IIDR policies, please send a written inquiry to: Ken Reid, IDR/IIDR Coordinator, …

https://www.alabamapublichealth.gov/providerstandards/

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Care for substance use disorder guide - American Medical …

(2 days ago) WEBIntegrated behavioral health care strategies. The newly updated “Care for Substance Use Disorder How-To Guide" provides physician practices and health …

https://www.ama-assn.org/delivering-care/overdose-epidemic/care-substance-use-disorder-guide

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Alabama Code § 27-1-17 (2020) - Justia Law

(7 days ago) WEBSection 27-1-17. Limitation periods for payment of claims; overdue claims; retroactive denials, adjustments, etc.; penalties. (a) Each insurer, health service corporation, and …

https://law.justia.com/codes/alabama/2020/title-27/chapter-1/section-27-1-17/

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CMS Rule Advances Medicaid and CHIP Care - National Law Review

(6 days ago) WEBOn April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS …

https://www.natlawreview.com/article/cms-issues-final-rule-medicaid-and-chip-managed-care-access-finance-and-quality

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UR Agent Law Alabama Department of Public Health (ADPH)

(9 days ago) WEBHealth Care Service Utilization Review Act (The UR Agent Law) Organizations performing utilization review (UR) activities as defined in the Code of …

https://www.alabamapublichealth.gov/mcc/laws.html

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Medicaid Program; Medicaid and Children's Health Insurance …

(1 days ago) WEBThese proposed maximum timeframes were informed by standards for individual health insurance coverage offered through Federally-Facilitated Marketplaces …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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2024 Quality Assurance Reporting Requirements (QARR) - New …

(9 days ago) WEB2024 reporting. The information contained in this clarification has been incorporated into a revised version of the QARR Technical Specifications for MY2024. …

https://www.health.ny.gov/health_care/managed_care/qarrfull/qarr_2024/clarification_1.htm

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