Form 600 Provider Self-audit Notification of Intent - Alabama

Form 600 Provider Self-audit Notification of Intent - Alabama

What Is Form 600?

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 600 Provider Self-audit Notification of Intent?
A: Form 600 is a notification of intent for provider self-audit in Alabama.

Q: Who needs to file Form 600?
A: Providers in Alabama who want to conduct a self-audit need to file Form 600.

Q: What is the purpose of Form 600?
A: Form 600 is used to notify the Alabama Medicaid Agency of the provider's intent to conduct a self-audit.

Q: What information is required in Form 600?
A: Form 600 requires the provider's name, address, NPI number, Medicaid provider number, and a brief description of the audit.

Q: When should Form 600 be filed?
A: Form 600 should be filed at least 30 days prior to the start of the self-audit.

Q: Is there a fee to file Form 600?
A: No, there is no fee to file Form 600.

Q: What happens after filing Form 600?
A: After filing Form 600, the Alabama Medicaid Agency will review the notification and may request additional information or documentation.

Q: Is Form 600 required for all self-audits in Alabama?
A: Yes, providers must file Form 600 for all self-audits conducted in Alabama.

Q: Are there any penalties for not filing Form 600?
A: Failure to file Form 600 may result in penalties or other enforcement actions by the Alabama Medicaid Agency.

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Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the Alabama Medicaid Agency;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form 600 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.

Download Form 600 Provider Self-audit Notification of Intent - Alabama

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