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Alabama Medicaid Expansion
Medicaid Expansion:
Alabama does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Alabama:
The Alabama Medicaid Agency administers the Medicaid Program.

Information about the state’s Medicaid program, including patient eligibility information, can be found at:
http://www.medicaid.alabama.gov/.
 
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at:
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.medicaid.alabama.gov/

In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.

Medicaid Managed Care:
Legislation passed by the 2013 Alabama Legislature calls for the state to be divided into regions and that a community-led network coordinate the health care of Medicaid patients in each region. The networks will ultimately bear the risks of contracting with the State of Alabama to provide that care. These Regional Care Organizations (RCOs) are being established.
(*Please check back for information about the RCOs as it becomes publicly available.)

Reporting Problems
The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office: 
 
ALABAMA MEDICAID AGENCY
334-242-5741
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 
 
Managed Care Plans Participating in HealthChoice:
 
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
 
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