Medicaid Alabama provides programs for elderly, disabled, children, families and pregnant women in need of medical services. Alabama is similar to other states in that they receive federal funds in order to serve these different populations.

There are four different agencies in Alabama that can determine whether a person is eligible for Medicaid Alabama, and so depending on the particular individual or families needs or situation they may look to these different agencies in Alabama to assist them in determining eligibility:

• The Alabama Department of Human Resources determines eligibility for foster children and children that receive adoption assistance
• The Alabama Catholic Social Services Agency determines eligibility for refugees involved in the Refugee Resettlement Program
• The Social Security Administration (SSA) determines eligibility for recipients of SSI such as the aged, blind or disabled.
• The Alabama Medicaid Agency determines eligibility for participants in the following programs- Breast and Cervical Cancer Program, Emergency Services for Aliens, Elderly and Disabled Programs, Medicaid for Low Income Families (MLIF), (SOBRA) program, Plan First (Family Planning) Program.

Once you have determined which agency that you should apply to for Medicaid Alabama , you will need to fill out an application. Here are the different populations that are eligible for Medicaid in Alabama:

Families who are eligible for AFDC based upon income

Recipients of Supplemental Security Income (SSI)

Babies of that are born to mothers who are Medicaid-eligible pregnant women;

Children who are under the age of 6 whose family income is at or below

133 percent of the federal poverty level

Children ages 6-18 whose family income is up to 100 percent of the federal poverty level

Those receiving adoption assistance

Foster care children

Those receiving Medicare benefits

In order to qualify for Medicaid  Alabama you must

• Live in Alabama
• Be in the U.S. legally or be a citizen
• Meet the income requirements as well as the age requirements for the particular Alabama Medicaid Programs
• In some cases you must meet medical criteria
• Pregnant mothers must be medically certified

There are certain income and resources requirements that a person or family must meet to receive benefits and there a maximum amounts of income that an individual or a family be allowed to have in order to qualify.

The Medicaid worker will need to verify income and resources when a person applies for Medicaid.

Some examples of income are:

• Wages and tips

• Dividends and interest

• Unemployment

• Social Security

• Child support or alimony payments

• Pensions or Retirements

• Veterans Benefits

In order to find where you local service agency is in order to apply for benefits you can go online at http://www.medicaid.state.al.us.

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Medicaid Alabama 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. Medicaid Alabama covers many different services including dental, Dr., Eye care, family planning services, preventive health services, hearing services, home health services, hospice services, hospital services, laboratory and x-ray services, maternity services, mental health services, nursing home services, prescription drugs, renal dialysis services, transplant services, home and community-based services, transportation services, ambulance services, as you can see Medicaid Alabama covers many different services to babies to senior citizens.

QUALIFYING FOR MEDICAID Alabama

To qualify for Medicaid Alabama, all individuals must:

• Be living in Alabama

• Be a U.S. citizen or be in this country legally

• Meet income and age requirements (varies according to program)

Those individuals applying for assistance through a program for the elderly or disabled must also:

• Meet certain medical criteria

• Have resources below a certain limit (varies according to program)

For pregnant women, the pregnancy must be medically verified.

In order to get on the Medicaid Alabama program you must meet the set criteria the financial requirements are as follows

Medicaid Alabama (Pregnant Women and Children under 6 years of age) - 133% of federal poverty level:

Income after deductions cannot exceed $1,201 per month for a family of 1

Income after deductions cannot exceed $1,615 per month for a family of 2

Income after deductions cannot exceed $2,030 per month for a family of 3

Income after deductions cannot exceed $2,444 per month for a family of 4

SOBRA Medicaid Alabama (Children 6 to 19 years of age) – 100% of federal poverty level:

Income after deductions cannot exceed $903 per month for a family of 1

Income after deductions cannot exceed $1,215 per month for a family of 2

Income after deductions cannot exceed $1,526 per month for a family of 3

Income after deductions cannot exceed $1,838 per month for a family of 4

Medicaid Alabama for Low Income Families:

Income after deductions cannot exceed $111 per month for a family of 1

Income after deductions cannot exceed $137 per month for a family of 2

Income after deductions cannot exceed $164 per month for a family of 3

Income after deductions cannot exceed $194 per month for a family of 4

(Please see the eligibility requirements for SOBRA/MLIF (Medicaid for Low Income Families) handout for

family sizes over 4.)

NOTE: Certain deductions, such as $90 work deduction per wage earner, dependent care costs and $50 per

household for child support received, may be deducted from the gross income to determine the net income

amount for the SOBRA and MLIF programs.

INCOME AND RESOURCES

Many Medicaid Alabama programs have specific requirements regarding the maximum income and resources an

applicant may have and still qualify for coverage. The rules vary among programs and the information

below is offered as a general guide. Applicants will need to find out the specific requirements for each

program.

Income means money that an individual receives. The maximum income allowed varies depending on the

program. Some examples of income are:

• Wages, salaries, tips

• Dividends and interest

• Unemployment compensation

• Social Security

• Child support or alimony

• Pensions or Retirements

• Veterans Benefits (less Aid and Attendant Care and Continuing Medical Expenses)

• Lump Sum Distribution

Note: SSI and welfare checks do not count as income.

Resources are money or other assets owned by an individual. The maximum amount of resources

allowed varies depending on the program. Some examples of resources are:

• Cash

• Cash surrender value of life insurance when face value of all policies is over $1,500 ($5,000 for

institutionalized individuals)

• Bank and credit union accounts, e.g. checking, savings, certificates of deposit, safe deposit box

• Loans

• Mineral and Timber Rights

• Property

• Mutual Funds

• Promissory Notes

• Stocks and Bonds

• Annuities

Some resources are generally not counted when applying for Medicaid. These include:

• Household goods and certain personal effects if the value is less than a certain amount

(varies according to program)

• Life insurance (or any insurance with a cash surrender value) if total combined face value is

below a certain amount (varies according to program)

• Burial fund or prepaid burial contract of up to a certain amount (varies according to program)

• Burial space items such as a casket, vault, burial plot, marker, opening/closing of grave.

• One automobile (value depends on how it is used)

• In the case of institutional Medicaid applicants, property may not be counted as a resource if:

• The applicant intends to return home from the medical institution

• If a bona fide effort is being made to sell the property

• If a spouse, other dependent relative or joint owner is living on the property

• The property, valued less than $6,000, is income producing

• If the property interest is a life estate

If you think you qualify Medicaid Alabama you can apply by visiting http://www.medicaid.alabama.gov/apply/apply_application.aspx?tab=3

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