June 12, 2014

State of Alabama
Press Release: Medicaid

Provider Application Fees

           TO:  All Providers

Federal regulations now require States to collect an application fee from all reenrolling or newly enrolling institutional providers. States must collect this fee from institutional providers prior to enrollment or reenrollment if these providers have not paid a fee to Medicare or another State or are not enrolled with Medicare, another State’s Medicaid program, or CHIP. Physicians and non-physician practitioners are not subject to the fee.  The application fee amount is established by CMS and is updated annually. Currently the FY2014 fee amount is $542.

Institutional providers who are required to submit a fee include, but are not limited to the following: ambulance service suppliers, ambulatory surgical centers, hospitals, community mental health centers, DME suppliers, rural health clinics, outpatient therapy groups, hospices, home health agencies, rehabilitation facilities, extended care facilities, laboratories, federally qualified health centers, end stage renal disease centers, etc. (A complete list can be viewed on the Agency website at http://medicaid.alabama.gov/.)

Institutional providers must submit the application fee in the form of a certified or cashier’s check at the time of their initial enrollment or reenrollment. The application fee should be mailed to HPES Provider Enrollment Department at P.O. Box 241685, Montgomery, Alabama 36124-1685. Those institutional providers who have paid the application fee to Medicare or another State or are enrolled with Medicare, another State’s Medicaid program, or CHIP will be exempt from paying the fee to Alabama Medicaid. Proof of this payment or enrollment must be submitted by the provider at the time of initial enrollment or reenrollment. Providers may also request a hardship exception from CMS as needed. If a hardship exception is granted by CMS, proof of the exception should be submitted to Alabama Medicaid at the time of initial enrollment or reenrollment. Providers can obtain more information on the hardship exception by visiting http://www.cms.gov/.

Changes to Medicaid’s provider enrollment system and the enrollment web portal are being developed and will be implemented by July 1, 2014. Any initial applications or revalidations from institutional providers already submitted or to be submitted will be subject to the application fee.

If you have any questions, please contact Provider Enrollment at 1-888-223-3630, option 1.

 

 

 



  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here