Form 199 Medicaid Patient Status Notification - Alabama

What Is Form 199?

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 199 Medicaid Patient Status Notification?A: Form 199 Medicaid Patient Status Notification is a document used in Alabama to notify Medicaid about a patient's status.

Q: What is the purpose of Form 199?A: The purpose of Form 199 is to inform Medicaid about any changes or updates in a patient's status, such as changes in address or insurance coverage.

Q: Who uses Form 199?A: Form 199 is used by healthcare providers in Alabama who participate in the Medicaid program.

Q: What information is included in Form 199?A: Form 199 includes details about the patient, such as name, Medicaid ID, address, and insurance information, as well as the reason for the notification.

Q: How is Form 199 submitted?A: Form 199 can be submitted electronically or by mail, as per the instructions provided by the Alabama Medicaid agency.

Q: Is there a deadline for submitting Form 199?A: Yes, there is usually a deadline for submitting Form 199. Providers should submit the form within a specific timeframe after the patient's status changes.