The Bureau of Health Provider Standards is Alabama’s regulatory agency responsible for licensing and/or certifying health care facilities. The Bureau consists of the Division of Health Care Facilities and the Provider Services Unit.
Health Care Facilities
The Division of Health Care Facilities certifies facilities for participation in the Medicare and/or Medicaid programs; works to ensure the level of care being delivered complies with state and federal standards and is continually upgraded; and makes sure patients/residents are protected from abuse and neglect.
The division conducts surveys of health care facilities. When facilities are found to be noncompliant with federal and state regulations a corrective action plan is required of the facility. Follow-up visits verify that corrective actions have been implemented to rectify cited deficiencies. View Health Care Facility Deficiencies.
The Division of Provider Services processes initial licensure and certification applications, maintains and distributes health care facilities and certified provider directories, and publishes, maintains and distributes facility licensure rules. The division also processes bed change requests, change of ownership applications, and provides consultation to health care providers and the general public relating to health care licensure requirements and certification standards and procedures.
If you would like to receive a Medicare certification enrollment application, please contact us at (334) 206-5175.
Notice to All Certified Health Care Facilities and Those Seeking Certification
The Department of Public Health Licensure and Certification section must have a correct facility name and address that is consistent with the official name and address on record with the Center for Medicare and Medicaid Services (CMS) and their Medicare Administrative Contractor (MAC) - the Fiscal Intermediary.
To that end it is the policy of the Department to: (1) grant an initial license; (2) grant a new license reflecting a name change or address change or relocation of a licensed facility; and (3) approve certification of a licensed facility -- only when written confirmation has been received from the MAC that the facility has been approved. The name and address entered on the licensure application forms must be the exactly the same as that on the certification forms.
Independent Informal Dispute Resolution Policy and Procedure
In accordance with Section 6111 of the Patient Protection and Affordable Care Act, all State Survey Agencies were required to develop a process for Independent Informal Dispute Resolution (IIDR). This type of dispute resolution applies only to situations in which a nursing home survey, begun after January 1, 2012, results in deficiency citation(s) at the scope and severity level of G or above and for which CMS has imposed a civil monetary penalty which will be collected and placed in escrow.
CMS provided Interim Advance Guidance about the IIDR Policy to the states in S&C: 12-08-NH, detailing the requirements for such a plan. The Atlanta Regional Office of CMS recently approved the plan for the ADPH. The complete IIDR Policy is posted here for public information.
If questions arise about this policy, please send a written inquiry to: Walter T. Geary, Jr., M.D., Bureau Director and Medical Director, Bureau of Health Provider Standards, Alabama Department of Public Health, P. O. Box 303017, Montgomery, Alabama 36130-3017 or email to firstname.lastname@example.org.