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  • Al Form 211 2023

Get Al Form 211 2023-2025

Alabama Medicaid AgencyApplication for Medicare Savings Programs This is NOT an application for full Medicaid. These programs cover Medicare premiums and deductibles. Medicaids drug coverage is limited.

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If you have questions about this, ask your operator when you call the toll-free number (1-800-362-1504).

Established under federal law, this program requires the Alabama Medicaid Agency to recover costs paid by the Agency from the estates of deceased Medicaid recipients.

Agency Details Website: Centers for Medicare and Medicaid Services (CMS) Contact: Contact the Centers for Medicare and Medicaid Services (CMS) Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. ... TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.

Which Medicaid expenses must my estate repay? Federal law requires Alabama to seek repayment for the cost of all long-term care services paid for by Medicaid, including related drug and hospital benefits. The state must also seek recovery for Medicare cost-sharing payments related to long-term care services.

More than a million Alabamians each year qualify for full or partial Medicaid coverage. To qualify for Medicaid, applicants must meet income, age or other requirements; provide proof of income and other information, fill out forms correctly and turn in a completed application to the correct office or worker.

Alabama operates a statewide PCCM program called Patient 1st.

QI-1 or Qualified Individual (effective February 2023): Income cannot exceed $1,661 per month for an individual. Income cannot exceed $2,239 per month for a couple. Plan First/Pregnant Women/Children (Ages 0-18):* Income after deductions cannot exceed $1,774 per month for a family of 1.

QI-1 or Qualified Individual (effective February 2023): Income cannot exceed $1,661 per month for an individual. Income cannot exceed $2,239 per month for a couple. Plan First/Pregnant Women/Children (Ages 0-18):* Income after deductions cannot exceed $1,774 per month for a family of 1.

To qualify for Medicaid, applicants must meet income, age or other requirements; provide proof of income and other information, fill out forms correctly and turn in a completed application to the correct office or worker. For more help, applicants should contact 1-800-362-1504.

In Alabama, that period of time is 60 months (5 years). This 60 month period of time is commonly known as the medicaid lookback period. Any gifts or transfers of assets for less than market value made during the lookback period may result in a transfer penalty.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232