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Alabama Medicaid

Alabama Medicaid

No Medicaid expansion 12-month postpartum

Alabama Medicaid covers pregnant women up to 146% of the federal poverty line, roughly $37,700 annual income for a family of three in 2025. The state has not adopted Medicaid expansion.

On maternal health specifically: Alabama Medicaid has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and does not cover doula services through Medicaid.

Alabama is one of ten remaining non-expansion states; the Alabama Arise coalition continues to press the legislature to close the coverage gap that leaves roughly 300,000 adults earning between 18% and 100% of the federal poverty line without any path to Medicaid or marketplace subsidies.

Ways to apply for Alabama Medicaid

These are the channels Alabama names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

insurealabama.adph.state.al.us

In person
Outstationed workers at most county health departments, federally-qualified health clinics, and some hospitals.
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Alabama's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 146% FPL ($37,700 for a family of three in 2025).
  • Children 0-5 eligible up to 146% FPL ($37,700 for a family of three).
  • Parents eligible up to 18% FPL only, no expansion adult category.
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 385,000 Black residents are enrolled in Alabama Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Alabama is one of ten remaining non-expansion states; the Alabama Arise coalition continues to press the legislature to close the coverage gap that leaves roughly 300,000 adults earning between 18% and 100% of the federal poverty line without any path to Medicaid or marketplace subsidies.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/al/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

Sesame Care

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