Form ADJ-02 Medicaid Adjustment Request Form - Alabama

What Is Form ADJ-02?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ADJ-02?
A: Form ADJ-02 is the Medicaid Adjustment Request Form used in Alabama.

Q: Who can use Form ADJ-02?
A: Form ADJ-02 can be used by healthcare providers or their designated representatives.

Q: What is the purpose of Form ADJ-02?
A: The purpose of Form ADJ-02 is to request adjustments to previously paid Medicaid claims.

Q: How should Form ADJ-02 be submitted?
A: Form ADJ-02 should be mailed to the Alabama Medicaid Agency.

Q: Are there any fees associated with submitting Form ADJ-02?
A: There are no fees associated with submitting Form ADJ-02.

Q: Is Form ADJ-02 required for all Medicaid adjustments?
A: Yes, Form ADJ-02 is required for all Medicaid adjustments in Alabama.

Q: What supporting documentation is required with Form ADJ-02?
A: Providers must include relevant documentation to support their adjustment request.

Q: Can Form ADJ-02 be used for retroactive adjustments?
A: Yes, Form ADJ-02 can be used for retroactive adjustments within the time limit specified by the Alabama Medicaid Agency.

Q: How long does it take to process a Medicaid adjustment request using Form ADJ-02?
A: The processing time for Medicaid adjustment requests varies and depends on the complexity of the request.