Ala. Admin. Code r. 560-X-1-.16

Current through Register Vol. 42, No. 10, July 31, 2024

Section 560-X-1-.16 - In-State Care And Services

(1) For each of the several categories of Medicaid covered services there may be state imposed limitations on frequency, amount, type, or kinds of services for which Medicaid will pay. Additional information concerning covered services limitation is found in the program chapters of this Code.

(2) Limitations of Medicaid services and supplies may not be absolute. In individual cases of justified medical necessity they may be exceeded if prior approval is obtained from Medicaid. Chapters concerned with covered services explain how to obtain prior approval for services beyond the state's normal limit.

Ala. Admin. Code r. 560-X-1-.16

Rule effective October 1, 1982.

Author:

Statutory Authority: State Plan, Attachment 3.1-A; 42 C.F.R. §§ 440.210, 441.10; Social Security Act, Title XIX, §1902 (a) (10) (A).