HB530 Alabama 2016 Session

Summary

Primary Sponsor

April WeaverSenator

Republican

Session

Regular Session 2016

Title

Medicaid Agency, regional care organization, full and probationary certification, time period extended, Secs. 22-6-156, 22-6-159, 22-6-162 am'd.

Summary

HB530 lets Alabama's Medicaid Agency extend regional care organization certification deadlines and probationary periods beyond October 1, 2016 to keep Medicaid regional care delivery flexible.

What This Bill Does

The bill authorizes the Medicaid Agency to set a later date for obtaining regional care organization certification and to extend the probationary certification period beyond October 1, 2016. It also adjusts when the agency can contract with alternate care providers if no regional care organization is certified by the extended deadline, and it clarifies conditions under which full certification may still be granted or refunds may be required if certification goals aren’t met.

Who It Affects

• Regional care organizations (RCOs) — may receive extended deadlines for certification and an extended probationary period.
• Medicaid beneficiaries in the affected regions — potential for continued service continuity or transition to alternate providers if no RCO is certified by extended dates.

Key Provisions

• The Medicaid Agency may establish a later date for obtaining regional care organization certification if it is in the best interest of the state.
• The probationary certification expiration date for regional care organizations may be extended beyond October 1, 2016.
• If no region has a regional care organization certificate by the original or extended deadline, the Agency may contract with an alternate care provider to resume or assume services in the region, under specified conditions.
• If a regional care organization with probationary or full certification fails to meet milestones or loses certification, the Agency may offer contracts to other qualified organizations and may require refunds of payments for case-management services from the prior 12 months.
• The Agency may contract with more than one alternate care provider in a Medicaid region when appropriate.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Medicaid Agency