Ordering/Referring Provider’s NPI Must Be Present on Claims

Effective for claims received on or after October 1, 2013, all Medicaid claims from laboratories, imaging centers, home health agencies, and durable medical equipment providers MUST have the NPI of the ordering/referring provider. An enrollment application is available for those providers who do not treat Alabama Medicaid recipients for payment, but who do order, prescribe, or refer.  These providers will be enrolled as an OPR provider.