Alabama Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Alabama Medicaid help and resources to assist in your search.
topics: Alabama Medicaid: Alabama Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Alabama; Medicaid Assistance information; AL; definition Medicaid Alabama: Alabama Medicaid Eligibility: Applying for Alabama Medicaid: Medicaid: Health Programs for Children: Alabama CHIP:
Topics on this page:
Definitions of Medicaid in Alabama
Medicaid in Alabama*
"Medicaid is a state/federal program that pays for medical and long-term care services for low-income pregnant women, children, certain people on Medicare, disabled individuals and nursing home residents. These individuals must meet certain income and other requirements."
*source: Alabama Medicaid Agency
Children's Medicaid and Medical Assistance in Alabama
See the section on this page Health Programs for Children: CHIP: Alabama
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Medicaid in Alabama: How It Works; An Introduction to Alabama Medicaid; What is Alabama Medicaid?
- brochure:
Your Guide To Alabama Medicaid
source:Alabama Medicaid Agency languages: English 19 pgs; from the brochure: "...this handbook -- ...tells you about the medical services
that Medicaid covers...tells you about the medical services that Medicaid does not cover...tells you what your rights and
duties are when you have Medicaid.... "
- also from Alabama Medicaid Agency:
web page: Alabama Medicaid - A Summary of
Covered Services languages: English from the web page: "...Health care providers give Medicaid services. These
providers include: doctors, dentists, optometrists, hospitals, drug stores, nursing homes, labs, rural health clinics, community health centers, health care centers for
the homeless, federally qualified health centers,... "
- web page:
MEDICAID | Alabama
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute languages: English from the webpage: "...Medicaid... provides health coverage to some low-income Alabama residents. Medicaid covers families with children and pregnant women, the elderly, and people with disabilities, if state and federal guidelines are met. Legal residents who are not U.S. citizens may be eligible for Medicaid however, question concerning immigration status and eligibility should be directed to the Alabama Department of Human Resources... "
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Alabama Medicaid Eligibility, How to get Medicaid in Alabama, Requirements
- publication:
Alabama Medicaid Eligibility Summary
source:Alabama Medicaid Agency
2 pages; languages: English
from the publication:
"...Medicaid in Alabama covers these groups:.."
- also from Alabama Medicaid Agency:
web page:
Qualifying for Medicaid
languages: English
from the brochure:
"...Each Medicaid program has its own requirements you must meet in order to qualify for benefits. All programs have income requirements. Some programs also have age requirements or are limited to certain groups such as pregnant women or people who also have Medicare....
"
- brochure:
Medicaid Income Limits for 2011
languages: English
- web page:
2011 HHS Poverty Guidelines
source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
languages: English
from the web page:
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Alabama Medicaid Citizenship Requirements
- brochure:
Documents Needed for Proof of Citizenship and Identity
source:Alabama Medicaid Agency
languages: English
2 pgs; from the brochure:
"...All current recipients who have declared they are United States citizens will have to provide Medicaid with proof of United States Citizenship and Identity at the time of their annual review of eligibility in order to remain eligible for Medicaid. Applicants and/or recipients who cannot provide such documentation after a good faith effort, may request further guidance from their Medicaid eligibility worker...
"
- brochure:
Citizenship Documentation Requirements in Medicaid
source:Kaiser Family Foundation
3 pages; languages: English
from the publication:
"Medicaid citizenship requirements
Under federal law, all U.S. citizens and certain legal immigrants who meet Medicaid’s financial and non-financial eligibility criteria are entitled to Medicaid. The Medicaid program has long required states to establish that individuals applying for Medicaid are U.S. citizens or satisfy the immigration restrictions.... "
- brochure:
Medicaid Citizenship Verification Requirement
source:American Public Human Services Association
5 pages; languages: English
from the publication:
"What has changed? In the Deficit Reduction Act of 2005, a new requirement was established with respect to citizenship verification of current and new Medicaid applicants. Citizen applicants were previously able to self-attest their citizenship and identity under penalty of perjury to qualify for Medicaid..... "
Applying for Alabama Medicaid
- web page:
Get Application
source:Alabama Medicaid Agency
languages: English
- web page:
Insure Alabama - Welcome
source:Insure Alabama
languages: English
2 pgs; from the web page:
"...This is the on-line application for free and low cost health care coverage programs for Alabama's families...
"
- also from Insure Alabama:
web page:
Frequently Asked Questions
languages: English
from the web page:
"What are these programs for?
2. Who are these programs for?
3. How much do these programs cost?
4. If I have other insurance, would I still be eligible for these programs?
5. I was on Medicaid in another state, can I transfer my Medicaid?
6. How does the on-line application work?...
"
- web page:
Apply Now (Medicaid Application}
languages: English
from the web page:
"This application should take 30 - 45 minutes to complete. Once you've finished, you should have a good idea if you and/or your children may be eligible for any of the programs....
"
Alabama Medicaid Offices
Alabama Medicaid Health Plans, HMO
- brochure:
Patient 1st
source:Alabama Medicaid Agency
languages: English
from the brochure:
"More than 420,000 Alabamians currently participate in Patient 1st, a primary care case management (PCCM) program operated by the Alabama Medicaid Agency. "
- also from Alabama Medicaid Agency:
brochure:
Change Your Patient 1st Personal Doctor (PMP)
28 pages; languages: English
from the brochure:
"Medicaid recipients on the Patient 1st program may change their personal doctor (also called a primary medical provider) at any time. ...
"
Find Alabama Medicaid Physicians, Doctors
Children's Medicaid & Other: Health Programs for Children: Alabama CHIP:
What is Medicaid for children in Alabama? What is Alabama CHIP?
Children's Medicaid in Alabama: SOBRA Medicaid
SOBRA Medicaid provides health care coverage for pregnant women and children under age 19 who fall within certain income guidelines. These children may be living in one or two parent families. You may also apply for unrelated children as long as they are living in the home. Family planning (birth control) services are available for women between the ages of 19 and 44..."
*source: HealthInsurance.Alabama.Gov (Alabama Department of Insurance)
What is Alabama ALL Kids? ALL Kids is Alabama's Children's Health Insurance Program (CHIP)
-
"ALL Kids is a low-cost, comprehensive healthcare coverage program for children under age 19. Benefits include regular check-ups and immunizations, sick child doctor visits, prescriptions, vision and dental care, hospitalization, mental health and substance abuse services, and much more."
"ALL Kids covers eligible children that live in Alabama. Children must also:
be under age 19.
be a U.S. citizen or an eligible immigrant.
not be covered under any health insurance*.
not be a resident in an institution.
not be eligible for dependent coverage under state or public school employees’ insurance.
not be covered by or eligible for Medicaid.
"
source: Alabama Department of
Public Health, Montgomery, AL 36104
- web page:
How ALL Kids Works
source:Alabama ALL Kids
languages: English
from the web page: "As soon as your child is enrolled in ALL Kids, choose a doctor and dentist... When your child needs medical and dental care, you must use a Blue Cross and Blue Shield of Alabama (BCBSAL) Preferred Provider Organization (PPO) provider. The PPO network is a group of doctors, dentists, pharmacies, hospitals and outpatient facilities enrolled as BCBSAL providers to offer services to ALL Kids enrollees at special, prearranged rates...
"
- web page:
SOBRA Medicaid: 1-800-362-1504
source:Insure Alabama
languages: English
from the web page:
"...SOBRA Medicaid is a health care coverage program that helps pay medical bills. SOBRA Medicaid is for children and teens under age 19 and pregnant women...
"
- also from Insure Alabama:
web page:
ALL KIDS: 1-888-373-5437 (KIDS)
languages: English
from the web page:
"A low cost, health care coverage program for children and teens under age 19. ..
"
- web page:
Medicaid for Low Income Families: 1-800-362-1504
languages: English
from the web page:
"Medicaid for Low Income Families (MLIF) is a health care program for families with very low income who have children under the age of 19 living in their homes. There must be a relationship to the children, such as that of a parent or close relative, in order to qualify for MLIF. Non-related caretakers do not qualify for MLIF...
"
- web page:
Alabama ALL Kids
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute
languages: English
from the webpage:
"...ALL Kids is a state program that provides health insurance to low-income families with children under the age of 18 who are not eligible for Medicaid and are uninsured...
"
- web page:
Alabama ALL Kids-Children's Health Insurance Program
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the webpage:
"...ALL Kids provides low-cost healthcare coverage for Alabama's children and teens whose family incomes are above Medicaid eligibility, but below 300% of the Federal Poverty Level. ALL Kids comprehensive benefit package covers regular check-ups, immunizations, sick child doctor visits, prescriptions, dental and vision care, hospital and physician services and mental health and substance abuse services. Additional medical services may be available for children with special needs. ALL Kids is administered by The Alabama Department of Public Health...
"
- bublication / brochure:
Children’s Health Coverage Alabama
source:Children's Defense Fund
languages: English
from the web page: "General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Alabama has two programs that provide free and low-cost health coverage to children: If you are a family of four with income of ... or less, your child is eligible for Medicaid. If you make ... or less and your child is under 5 years old, they are also eligible for Medicaid.
If you are a family of four with income of ... or less, your child is eligible for ALL Kids...."
- also from Children's Defense Fund:
brochure:
Health Coverage for All Children: Alabama
2 pages; languages: English
from the brochure:
"How affordable is health coverage for Alabama’s Children?... CHIP and Medicaid Enrollment Procedures for Alabama’s Children... Despite difficult economic times, Alabama was one of 23 states that took steps to improve
health coverage for children in the last year. In 2009, Alabama expanded CHIP eligibility from
200 to 300 percent of poverty.
"
- brochure or publication:
Alabama MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"HHow does Medicaid help children in Alabama? Children make up 50% of Alabama’s Medicaid population, but are of very low cost, accounting for only 24%
of the state’s Medicaid spending.....
"
- Medicaid brochure:
Alabama Public Health Insurance for Children
source:National Center for Children in Poverty (NCCP)
languages: English, Spanish
from the brochure:
"...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,...
"
- also from National Center for Children in Poverty (NCCP):
web page:
Alabama Public Health Insurance for Parents
languages: English
from the web page:
"Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ...
"
- web page:
Alabama Demographics of Low-Income Children
languages: English
from the brochure:
"In Alabama, there are 615,883 families, with 1,112,429 children..."
- web page:
Alabama: CHIP Program Name and Type
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
- web page:
Alabama Medicaid, SCHIP, & Federal Authority
source:State Coverage Initiatives
languages: English
Alabama Medicaid Benefits and Coverage: Medicaid Services
Medicaid Prescription Drugs; Preferred Drug List
- web page:
Pharmacy Services
source:Alabama Medicaid Agency
languages: English
from the web page:
"The Alabama Medicaid Agency pays for most medicines legally prescribed by a doctor or authorized health professional when dispensed by a licensed doctor or pharmacist in accordance with state and federal laws. In FY 2007, Medicaid paid for approximately 7 million prescriptions for qualifying Alabama recipients...
"
- also from Alabama Medicaid Agency:
web page:
Preferred Drug List
languages: English
from the web page:
"Preferred Drug List – Alphabetical - Effective 10-1-10...
"
Alabama Medicaid Dental Services; Dentist
- web page:
Dental Program
source:Alabama Medicaid Agency
languages: English
from the web page:
"The Alabama Medicaid Dental Program covers certain routine preventive and restorative services for children under age 21 who have full Medicaid eligibility. Medicaid does not cover any type of dental care for adults...
"
- also from Alabama Medicaid Agency:
brochure:
Medicaid Dental Program Benefits
languages: English
from the brochure:
"Medicaid pays for routine dental care for children under 21 years of age with full Medicaid eligibility through the EPSDT
Program when provided by licensed dentists who are enrolled as Medicaid dental providers. Adults 21 years of age and
older are not eligible for dental coverage through Medicaid...
"
- web page:
Find an Oral Health Provider: Alabama Dental Providers
source:InsureKidsNow.gov
languages: English
- brochure or publication:
Guide to Children's Dental Care in Medicaid
source:Centers for Medicare & Medicaid Services
52 pages; languages: English
from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
- also from Centers for Medicare & Medicaid Services:
web page:
Medicaid Dental Coverage - Overview
languages: English
from the web page:
"Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit...
"
Other Health Coverage Options in Alabama
- brochure:
Guide to Finding Health Insurance Coverage: Alabama
source:Families USA
file size: 9 pg.; languages: English
from the brochure:
"...If you cannot afford health care
or insurance... there are programs that provide health insurance to some people who cannot afford to buy it on their own. You or your family members may qualify, even if you work. However, these programs have income and asset limits. In Alabama, the main programs are Medicaid and ALL Kids...
"
- web page:
HRSA - Find a Health Center - Search Page
source:U.S. Department of Health & Human Services
languages: English
from the brochure:"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide •checkups when you're well •treatment when you're sick •complete care when you're pregnant
•immunizations and checkups for your children •dental care and prescription drugs for your family •mental health and substance abuse care if you need it..."
- brochure:
Alabama Health Center Fact Sheet
source: National Association of Community Health Centers (NACHC)
languages: English
from the brochure:"Alabama Federally-Supported Health Centers, 2008..."
- also from National Association of Community Health Centers (NACHC):
web page:
Find a Health Center
languages: English
from the web page:
"If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish...
"
- web page:
Unemployed and Uninsured
source:HealthInsurance.Alabama.Gov
languages: English
from the web page:
"If you currently do not have health insurance because you are unemployed or are employed but cannot afford your employer’s health insurance plan, you may qualify for one or more of the following health insurance assistance programs.
...
"
- brochure:
Alabama Health Care Options Matrix™ Guide
source:Foundation for Health Coverage Education
2 pages; languages: English, Spanish
from the brochure: "...hand-held guide available that outlines your state’s (Alabama) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites...
"
- brochure:
Consumer Guide for Getting and Keeping Health Insurance in Alabama
source:Georgetown University Health Policy Institute
file size: 39 pg.; languages: English
from the brochure:
"...As an Alabama resident, you have rights under federal and state law that will protect youwhen you seek to buy, keep, or switch your health insurance, even if you have a serious healthcondition.This guide describes your protections as an Alabama resident.....
"
Alabama Medicaid and Nursing Homes, Assisted Living, Home Health Care
- brochure:
Medicaid for the Elderly and Disabled
source:Alabama Medicaid Agency
languages: English
from the brochure:
"The Alabama Medicaid Agency has a number of programs for the elderly and
disabled. Medicaid for Institutional care is for people in nursing homes, hospitals, and ICF-MR facilities. Home and Community Based Waivers are for people who are elderly, disabled, homebound, mentally retarded, or who have certain diagnoses and who live in the community...
"
- brochure:
Long Term Care Choices through Medicaid
source:Alabama Medicaid Agency
1 page; languages: English
from the brochure:
"...Since 1982, options for home and community choices have been available for individuals applying for long term care services. Individuals with special health care needs at risk for nursing home placement may choose available services in the home and community...
"
-
web site:The Alabama Long Term Care Care Project
Alabama Medicare Medicaid Nursing Homes Directory
languages: English
from the web page:
"These are Alabama Nursing Homes in cities A - Z.
" In addition to the state directory described above, there are nursing home directories for principal Alabama cities. A few examples:
Alabama Assisted Living
languages: English
from the web page:
"A consumer's guide to information and help about assisted living in Alabama, with a directory of assisted living facilities...
"
Alabama Home Health Care
languages: English
from the web page:
"A consumer's guide to information and help about Home Health Care agencies and services in Alabama, with a directory ...
"
Alabama Medicare / Medicaid Dual Eligibles - Medicare Savings Program
- web page:
Medicare Savings Programs
source:Alabama Department of Insurance
languages: English
from the web page:
"Alabama has programs for people with limited income and resources that pay some or all of Medicare's premiums. Some programs may also pay Medicare deductibles and coinsurance. To be eligible for the Medicare Savings Programs, you must...
"
- brochure:
Medicaid Coverage of Medicare Beneficiaries (Dual Eligibles) At A Glance
source:Centers for Medicare & Medicaid Services
4 pages; languages: English
from the brochure:
"Individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit are often referred to as “dual eligibles.” These
benefits are sometimes referred to as Medicare Savings Programs (MSPs). Dual eligibles are eligible for some form of Medicaid benefit, whether that Medicaid coverage is limited to certain costs, such as Medicare premiums, or the full benefits covered under the State Medicaid plan...
"
- brochure:
Dual Eligibles: Medicaid’s Role for Low-Income Medicare Beneficiaries
source:Kaiser Family Foundation: Medicaid/CHIP
languages: English
2 pages; from the brochure:
"Nearly 8.8 million Medicaid beneficiaries are “dual eligibles” – low-income seniors and younger persons with disabilities who are enrolled in both the Medicare and Medicaid programs. Dual eligibles are among the sickest and poorest individuals covered by either the Medicaid or
Medicare programs...
"
Alabama Medicaid Waiver Programs
Medicaid Community Waivers in Alabama
"Individuals who are elderly and/or disabled may qualify for home and community based services through one of these waiver programs. These services are to protect the health, safety, and dignity of those individuals who are at risk of institutional care and will allow them to receive full Medicaid coverage in addition to the services provided by the specific waiver in the community setting. Individuals who are disabled may first apply for SSI or disability benefits through the Social Security Administration in order to determine if they meet disability requirements. Aged or disabled individuals must meet the specific eligibility requirements for each waiver listed below to receive the waiver services."
*source: Alabama Medicaid Agency, Montgomery, AL, 36104
for more information, see:
More resources about Alabama Medicaid Waiver Programs:
Report Medicaid Fraud in Alabama
- web page:
Fraud and Abuse Prevention
source:Alabama Medicaid Agency
languages: English
from the web page: " The Alabama Medicaid Agency is committed to detecting, preventing and/or eliminating all forms of fraud and abuse to ensure that all available funds go to provide health care to those in need..."
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AL: Alabama Medicaid: The Medicaid Project, Eligibility, Alabama Medicaid Rules, Application
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