Medicaid for Children

All children are eligible who are under the age of 19 and permanent residents of Alabama. Children may be raised by one or both parents.

Medicaid for Parents and Caretaker Relatives

An applicant must reside with a child under the age of 19 who is a close relative. The applicant must be a resident of Alabama and a U.S. citizen.

Medicaid for Pregnant Women

All pregnant women who are permanent residents of Alabama are eligible to avail of this plan.

Medicaid for the Elderly and Disabled

A multitude of services for the elderly and disabled are available through the Alabama Medicaid Agency. People in nursing homes, hospitals, and ICF-IID facilities are considered eligible for the plan.

Waivers for those who reside in the community and are aged, crippled, homebound, mentally disabled, or have specified conditions are eligible for home and community-based waivers.

Medicaid in the Nursing Home

For approved persons, the Alabama Medicaid Agency provides coverage for institutional care. Institutional Medicaid is for persons who live in nursing homes, hospitals, or ICF-IID facilities. 

People who need nursing home care can apply for one of the Agency’s Home and Community Based exemptions, which allows them to receive care in the community.

Breast and Cervical Cancer Program

Eligible women can get free breast and cervical cancer screenings through this program.

Plan First Family Planning Program

Women ages 19 to 55 may be eligible for family planning services through the Plan First Program thanks to a specific arrangement (waiver) with the federal government.

Vasectomies are only available to men over the age of 21. A yearly family planning exam, birth control such as tablets or shots, tubes tied, lab tests to test for pregnancy or sexually-transmitted disease, and assistance in deciding when to have a baby are all included for women.

What is covered by Alabama Medicaid?

The following services are covered by Alabama Medicaid 

Ambulance services Maternity services
Dental services (for children) Mental health services
Doctor services Nurse midwife services
Eye care services Nursing home care services
Family planning services Out-of-state services
Hearing services (for children) Prescription drugs
Home health services Renal dialysis services
Hospice care Transplant services
Hospital services Transportation services
Laboratory and X-ray services Well-child checkup program

Can I have both Alabama Medicaid and Medicare?

If you are 65 or older, you can qualify for both Medicare and Medicaid. If your age is below 65 then you can only avail the benefits of Medicaid, if other eligibility criteria are also fulfilled.

Alabama Medicaid Coverage of Residential Senior Care

Alabama Medicaid agency offers numerous programs to ensure the facilitation and coverage for senior care. The following three programs covered:

  • Medicaid in the Nursing Home, Hospital, or ICF-IID (Institutional Medicaid)
  • Home and Community-Based Waivers
  • Supplemental Security Income Payments (SSI) 

6 Alabama Medicaid Waivers

There are six Medicaid waivers available in the State of Alabama.

  1. Elderly and Disabled (E&D) Waiver Program serves people who require nursing care due to age factor and disabilities.
  2. State of Alabama Independent Living Waiver (SAIL) Program is for adults of 18 years or older who would require a nursing care facility due to specific medical diagnosis along with disability.
  3. Home and Community-Based Waiver for Persons with Intellectual Disabilities (ID) program is to facilitate adults of 18 years or older with any intellectual disability and need an intermediate care facility.
  4. Technology Assisted (TA) Waiver for Adults Program is to serve those people (age 0 to 21) who are dependent on ventilators and require skilled nursing care. 
  5. Living at Home (LAH) Waiver for Persons with Intellectual Disabilities serves adults and children of age 3 and up with an intellectual disability diagnosis who would normally be eligible for care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID.
  6. Alabama Community Transition (ACT) Waiver is a program designed to serve people who are willing to move to home and community from a nursing facility due to disability or long term illness.

Medicaid Eligibility 

What is the highest income limit for Alabama Medicaid?

The highest income limit for Alabama Medicaid is $17,131 (Maximum Income Level per year).

What documents do I need to apply for Medicaid?

You will need to fulfill the following requirements to avail Alabama Medicaid.

  • Meet all the eligibility requirements of income and age, etc.
  • Correctly fill out all the forms.
  • Apply and submit your application online or directly to the office.

Apply online at https://insurealabama.adph.state.al.us/

OR

For more help, call toll-free 1-800-362-1504.

What is the best Medicaid in Alaska?

Blue Cross and Blue Shield are considered the Medicaid plans in Alaska by the majority of the users. 

Where do I find the letter showing the reason(s) for denial or discontinuance from Alabama Medicaid?

You can check the status of your Alabama Medicaid health information by using the My Medicare HCP Member Portal.

Where can I upload the documents for Alabama Medicaid?

You can use Alabama Cares and Alabama Medicaid Agency Portal Application to upload your documents for an online Alabama Medicaid application. Open the documents section and use the Document wizard to successfully upload your every document.

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