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Learn how to qualify for Medicaid programs in Alabama based on income, age, group or other criteria. Find out how to fill out and submit your application online or in person, and get help with questions or updates.
Find online and paper forms to apply for Medicaid health coverage, report changes, request medical records, and more. Download or print the forms you need for different programs and situations.
Download and print the application form to apply for health coverage and help paying costs in Alabama. Fill out the form with your personal and family information, income, and insurance details, and mail it to the address on page 11.
Insure Alabama is ALL Kids and Medicaid's online application for free and low cost health care coverage for children and pregnant women living in Alabama.
The online application is for ALL Kids, SOBRA Medicaid and Medicaid for Low Income Families (MLIF). These programs provide free or low-cost healthcare coverage to eligible children and teens who live in Alabama.
Commonly required forms related to applying for Medicaid benefits can be downloaded from the public Alabama Medicaid Expedite Resources website at Medicaid.Alabama.gov. Forms available from this site are fillable PDF documents.
Alabama Medicaid Agency Application/Redetermination for Elderly and Disabled Programs Instructions: Read this application carefully and follow all instructions given throughout the form. Answer each question completely and accurately. You may have someone help you complete the application. 1.