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Section 40-26B-80 - Outpatient Medicaid base payments.

AL Code § 40-26B-80 (2019) (N/A)
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If Medicaid begins making payments pursuant to Title 22, Chapter 6, Article 9, on or before September 30, 2019, Medicaid shall pay hospitals as a base amount for fiscal year 2019 for outpatient services based upon a fee for service and access payments or OPPS schedule. If Medicaid begins making payments pursuant to Title 22, Chapter 6, Article 9, on a date other than the first day of fiscal year 2019, there shall be no retroactive adjustment to payments already made to hospitals in accordance with the approved State Plan.

Should Medicaid implement OPPS, the total amount budgeted (total base rate) for OPPS shall not be less than the total outpatient UPL.

If Medicaid does not begin making payments pursuant to Title 22, Chapter 6, Article 9, on or before September 30, 2019, Medicaid shall pay hospitals as a base amount for fiscal year 2019 for outpatient services, based upon an outpatient fee schedule in existence on September 30, 2018. Hospital outpatient base payments shall be in addition to any hospital access payments or other payments described in this article.

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Section 40-26B-79 - Inpatient Medicaid base payments.
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Section 40-26B-81 - Medicaid hospital access payments.