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Chapter 1 Introduction - Alabama Medicaid Agency - Alabama

Chapter 1 Introduction - Alabama Medicaid Agency - Alabama 2025

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The Alabama Medicaid Provider Manual serves as a practical guide for healthcare providers participating in the Alabama Title XIX Medicaid Program, detailing processes for reimbursement, eligibility verification, claims filing, and provider responsibilities. It is organized into three parts: Provider Information, Alabama Medicaid Services, and Appendices. The manual also offers guidance on using both paper and online versions, including features like search capabilities and update tracking.

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What is the highest income to qualify for Medicaid in Alabama?

Income Asset Limits for Eligibility 2025 Alabama Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Medicaid Waivers / Home and Community Based Services $2,901 / month $4,000 ($2,000 per spouse) Regular Medicaid / Medicaid for Elderly and Disabled $987 / month $3,0002 more rows Dec 4, 2024

What does Alabama Medicaid not cover for adults?

Medicaid will NOT pay for: Cosmetic surgery or procedures. Dental services for adults (age 21 and older), except pregnant adult recipients through 60 days postpartum.

What is the Alabama Medicaid plan first?

The Plan First Program provides family planning and birth control services to eligible recipients in Alabama. The goal of the Plan First Program is to help women and men have a better life. Mothers and babies have a better chance of being healthy.

Who controls Medicaid?

The Centers for Medicare Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Childrens Health Insurance Program (CHIP), and the Basic Health Program.

Who runs Alabama Medicaid?

Stephanie McGee Azar was appointed as Commissioner of the Alabama Medicaid Agency on May 1, 2012 by Governor Robert Bentley.

Who funds Alabama Medicaid?

How is Alabama Medicaid funded? Medicaid is funded jointly by the state and federal government. Medicaids matching rate is approximately 70 percent federal, 30 percent state. This matching rate is based on state per capita income and changes each year.

How does Medicaid work in Alabama?

Medicaid is a state program that gets federal money. It helps low income people. It pays for doctor visits, medicines, hospital care, nursing homes and other medical care. Medicaid pays doctors, hospitals, druggists and others directly.

Who is in charge of Alabama Medicaid?

Medicaid Contacts ADMINISTRATIVE LEGAL CONTACTS Office of Medicaid Commissioner Stephanie M. Azar 1-334-242-5600 Governmental Affairs 1-334-353-5122 Fair Hearings 1-334-242-5741 Fraud Abuse, Reporting (Toll-Free) 1-866-452-493043 more rows

Chapter 1 Introduction - Alabama Medicaid Agency - Alabama 2025

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