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  • Al Form 384 2017

Get Al Form 384 2017-2025

Skin breakdown present Yes No Description/Comments PMH of pressure ulcer Yes No Description/Comments Other risk factors Check all that apply bony prominences impaired nutritional status impaired circulation fecal incontinence urinary incontinence smoking Yes No Bowel Function Continent Incontinent Accidents - How Managed.

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Click the Get form button to prepare your AL Form 384 paperwork rapidly and start modifying it instantly. In the editing mode, you can easily fill in the template with your information for submission. Simply click on the field you need to alter and enter the data right away. The editor's interface does not need any specific skills to use it. When finished with the edits, check the information's accuracy once again and sign the document. Click on the signature field and follow the instructions to eSign the form in a moment.

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It usually takes about 45 days to process an application once all information is received by the Medicaid worker (when the application is complete). If I qualify, how will that work? If you qualify for the QI-1 program, Medicaid will tell Social Security to stop deducting this money from your Social Security check.

To qualify for Medicaid, applicants must meet income, age or other requirements; provide proof of income and other information, fill out forms correctly and turn in a completed application to the correct office or worker. For more help, applicants should contact 1-800-362-1504.

E0570 (Nebulizer) Continuous Rental Policy Change Effective for dates of service on or after April 1, 2014, Alabama Medicaid will reimburse E0570 (Nebulizer) as purchase only, excluding cross-over claims.

Refills of remaining quantities and/or new prescriptions filled within 180 days of the initial opioid naive claim will require an override. Refills of remaining quantities of prescriptions that are partially-filled will be allowed per State and federal law* but will require an override through Medicaid.

Yes, Alabama Medicaid will pay for incontinence supplies when prescribed by a physician for use in chronic pathologic conditions that cause incontinence. These medically necessary items include diapers, protective underwear, disposable underpads, bladder control pads, and reusable underwear.

What do I need to do? Most specialists require a referral from your primary care provider.

Prior authorization and other forms are available below. For questions related to prior authorization or overrides, contact KEPRO at 1-800-748-0130.

Prior Authorization (approval in advance) is required for many procedures, services or supplies, including transportation. Click here for information on obtaining an Emergency PA for medications. Below are the forms used for Prior Authorization. Prior Review and Authorization Request Note: a completed form is required.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232