Medicaid announced a new form that should be used by all Medicaid providers to notify Medicaid that the provider has filed with a third-party resource other than the recipient’s own insurance for payment (as stated in Medicaid’s Administrative Code Rule No. 560-X-20-.02 (3)(d)).
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Medicaid issued an Alert announcing, effective October 1, Continuous Glucose Monitors (CGMs) were covered through the Durable Medical Equipment (DME) Program with prior authorization (PA) for recipients (children and adults) with one of the following:
NOTE: CGMs are not covered through the pharmacy benefit; requests must be submitted by a DME-enrolled provider with an active National Provider Identifier (NPI).
Also in Alabama, the Board of Pharmacy technician registrations expire December 31. The Board is accepting pharmacy technician renewals online at www.albop.com. Please don't wait until the last minute to renew.
Important information for technicians and their employers: If you are completing the Alabama Pharmacy Association (APA) Pharmacy Technician Training or employing a technician completing the program, please take note. With the upcoming holidays, please be aware of the following important dates and plan accordingly.
The APA office will be closed on Christmas Eve through January 1, 2026. If you complete the program after December 22, you may not receive a certificate of completion until January 5, 2026. If you need to complete the training before you renew your license, please do so before December 22.
APA will email certificates of completion on the following dates in December:
Please contact the APA office if you have any questions.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Effective for dates of service on and after October 1, the Medicaid Agency (Medicaid) updated the laboratory fee schedule rates. Providers with billing questions may contact the Gainwell Technology Provider Assistance Center at 1-800-688-7989.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
A new episode has dropped on “Off Script”, The Alabama Pharmacy Podcast, with some CE available. All episodes and links to CE (in show notes) or wherever you like to listen. Watch Episode 44 – Board of Pharmacy Meeting Update: September 2025. Join Garrett Aikens and Allyson Gilliam as they recap the Board of Pharmacy meeting that took place on September 17.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Medicaid Agency (Medicaid) is required to conduct administrative desk reviews to ensure providers are following state policies and practices that comply with federal regulations. Medicaid coordinates with SafeGuard Services, LLC (SGS), a Unified Program Integrity Contractor (UPIC) working with the Centers for Medicare & Medicaid Services (CMS). SGS performs fraud, waste and abuse detection, deterrence and prevention activities for Medicaid claims through administrative desk reviews. See Medicaid’s ALERTs for details.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Alabama Pharmacy Association is now accepting nominations for two Alabama Board of Pharmacy Seats.
Nominations for the Pharmacy Technician position are being accepted through July 31. All candidates must be a resident of the state and must be nationally certified and registered in the state for a minimum of five years. They must also be actively engaged in the practice of pharmacy. Nominators should include CPhT documentation along with nomination.
Nominations for the Specialty Pharmacist position are being accepted through July 31. All candidates must be a resident of the state. They must be licensed pharmacists who have been licensed in the state for a minimum of five years and who are actively engaged in the practice of pharmacy, or pharmacy administration, or both. 34-23-90 defines "Specialty" as "such as nuclear, home infusion, compounding only or consultant pharmacist".
Nominations should be submitted in writing to LJones@aparx.org and should include the nominee's name and contact information along with the name and contact information of the individual submitting the nomination.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Board of Pharmacy announced an immediate position available for Executive Secretary. The deadline for applications is June 15.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
It is time again for the Payment Error Rate Measurement (PERM) Cycle for Medicaid Pharmacy providers. CMS collaborates with a vendor to conduct PERM retrospective reviews (i.e., audits) on Medicaid claims, and they are beginning their reviews on our program. Of note:
The Department respectfully asks that pharmacy providers respond to ALL PERM REQUESTS in a timely manner, as this is a mandatory review; Medicaid is 'graded' on our providers' response rates.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Effective April 1, the Medicaid Agency will:
Acentra Health
Medicaid Pharmacy Administrative Services
P.O. Box 3570, Auburn, AL 36831
Fax: 1-800-748-0116
Phone: 1-800-748-0130
View the alert for additional details.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
