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billing 

Alabama Medicaid Agency and DXC Technology provides a variety of support services to assist providers with billing and other programs, assist in claims troubleshooting, and clarify the reimbursement process.

Alabama Medicaid Agency
Providers can access the latest information about Alabama Medicaid publications, administrative code, annual reports, newsletters, procurement, alerts, presentations, Quality, Innovative & Technology Initiatives and Statistics.

Manuals

Alabama Providers Manuals are updated on a quarterly to semi-annually basis. Click the link for the latest version 


DXC Technology
The DXC Provider Assistance Center toll-free is 1-800-688-7889 or 334-215-0111. Provider Enrollment toll-free is 1-888-223-3630 or 334-215-0111. Electronic Media Claims Helpdesk is 1-800-456-1242 or 334-215-0111.

Medicare
CMS Medicare Administrative Contractor (MAC) – A MAC is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims, Home and Hospice Regions (HH+H), Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries and Railroad Medicare.  CMS relies on a network of MACs to serve as the primary operational contact between the Medicare program and the health care providers enrolled in the program.  MACs are multi-state, regional contractors responsible for administering both Medicare Part A and Medicare Part B claims. Alabama has one MAC who process claims and provide training.

Part A and B claims for Alabama, Georgia, and Tennessee: 1-800-735-1034 access website here

National Government Services (NGS) MAC

finance 

APHCA offers a variety of health center finance trainings throughout the year on new or updated standards and best practices. Trainings include, but are not limited to, financial updates, federal and state updates, budgeting, financial compliance, Board of Directors financial oversight roles, emergency preparedness, and billing and coding. These trainings also provide health center financial staff with an opportunity to network with peers to discuss and provide mutual problem solving of clinical and administrative issues. 

340B Program

What is 340B? The 340B Drug Pricing Program (340B Program) is a federal program that requires drug manufacturers, who participate in the Medicaid Drug Rebate program, to also provide reduced 340B prices on covered outpatient drugs for 340B-covered entities. The purpose of the program is to give covered entities the ability to stretch scarce federal resources as far as possible to reach more eligible patients and provide more comprehensive services. Participation in the 340B program can result in cost saving and revenue generation for health centers. Covered entities receive front-end discounts rather than a rebate later on in the payment process.  For more information about the 340B program and eligibility, click here.