Our work advances health care and improves health for people in Alabama through our expertise in utilization management and quality review. Our staff is composed of Alabamians who provide services within their own community to support the needs of residents. We are privileged to provide this vital work for the state.
Services We Provide for the Alabama Medicaid Agency
Our work includes medical record reviews for the Alabama Medicaid Agency to ensure compliance with state and federal guidelines. This includes the following scope of work:
- Hospital medical record reviews for adult and pediatric admissions and continued stay reviews
- Review of each hospital’s medical care evaluation plan that focuses on each recipient’s needs
- Review provider preventable conditions to identify inappropriate treatment for a medical condition
- Appeal reviews, including informal reviews and fair hearings
March 19, 2020
During the current COVID-19 emergency, Comagine Health is fully staffed, and business operations are not interrupted.
For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, recipients and communities while also protecting our staff and minimizing the spread of the illness.