Alerts

Preferred Drug List (PDL) Quarterly Update
Mar 12, 2019  -  Effective April 1, 2019 the Alabama Medicaid Agency will: 1. Require Prior Authorization (PA) for generic tobramycin/dexamethasone ophthalmic drops, generic albuterol HFA, and generic fluticasone/salmeterol inhalation device. Brand Tobradex and Advair Diskus will be added as preferred. Brand Proair HFA and Proventil HFA will remain preferred.
Professional Claim Reimbursement for Hepatitis A Vaccine
Feb 10, 2019  -  In response to the hepatitis A outbreak identified by the Alabama Department of Public Health, Alabama Medicaid has started covering the hepatitis A vaccine for recipients ages 19 and older. Procedure code 90632 should be billed. Please refer to Provider Billing Manual Chapter 28 – Physicians and Appendix H – Physician Administered Drugs for details about vaccine billing.
Reimbursement for Administration of Hepatitis A Vaccine
Jan 29, 2019  -  Effective February 1, 2019 Alabama Medicaid will begin reimbursing Medicaid-enrolled pharmacy providers for the administration of hepatitis A vaccine to eligible recipients age 19 and older.
Regional Meetings to Discuss ACHN plans with Primary Care Providers
Jan 28, 2019  -  Patient 1st primary medical providers and other primary care providers are invited to attend one of the following regional meetings to learn more about Medicaid’s proposed Alabama Coordinated Health Networks (ACHNs).

Recent Alerts


Date 
Mar 12, 2019 Preferred Drug List (PDL) Quarterly Update
Feb 10, 2019 Professional Claim Reimbursement for Hepatitis A Vaccine
Jan 29, 2019 Reimbursement for Administration of Hepatitis A Vaccine
Jan 28, 2019 Regional Meetings to Discuss ACHN plans with Primary Care Providers
Jan 16, 2019 LTC Admission Software Upgrade
Dec 26, 2018 2019 CPT Code Changes for Behavioral Health Providers
Dec 3, 2018 Federal Rule Change for Prenatal Claims
Dec 3, 2018 Preferred Drug List (PDL) Quarterly Update
Nov 6, 2018 Opioid Refill Threshold Increase
Sep 25, 2018 Individual AMHP Enrollment Requirements
Sep 25, 2018 Short-Acting Opioid Naïve Limits
Sep 4, 2018 Preferred Drug List (PDL) Quarterly Update
Aug 21, 2018 Synagis® Criteria for 2018 – 2019 Season
Jul 13, 2018 Secure Web Portal Cipher Protocol Changes
Jul 3, 2018 Face-to-Face Rule Change
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