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TO: Behavioral Health Providers 

RE:   Changes to Behavioral Health Service Location Criteria

Effective January 1, 2024, to enroll as an Alabama Medicaid Behavioral Health Provider (Provider Type: 07) the service location must be a physical facility. The physical facility must also have visible signage bearing the name of the business.

The examples below are no longer acceptable service locations for this provider type:

·         A home residence

·         A cubicle located within an office space

·         A shared space inside another business

Any enrollment application submitted with a service location that fails to meet the criteria outlined above will be denied.

Providers who are currently enrolled at a service location that does not meet the criteria will have 30 days from January 24, 2024, to comply with this policy change. A request to update the service location address on file may be submitted on company letterhead with a completed W-9 Tax Form as an Enrollment Update via the Alabama Medicaid Interactive Web Portal.

An unannounced site visit may be required as part of your provider enrollment process. Site visits are unscheduled, unannounced visits conducted by a Gainwell Provider Representative. The Gainwell Provider Representative will wear a name badge with picture identification and provide a Gainwell business card at the time of visit.

Questions related to this policy update may be directed to the Alabama Medicaid at stephanie.logan@medicaid.alabama.gov  or wanda.williams@medicaid.alabama.gov.

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