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).
Alabama Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Alabama Medicaid covers pregnant women up to 146% of the federal poverty line, $37,700 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://insurealabama.adph.state.al.us/ or by phone at 1-800-362-1504. Federal law requires a 45-day decision on non-disabi…
Doula coverage
Doula coverage details
Alabama Medicaid does not currently cover doula services through Medicaid; state advocacy for a State Plan Amendment is ongoing.
Postpartum extension
12-month postpartum status
Alabama Medicaid extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
Alabama Medicaid covers pregnancy-related care up to 146% of the federal poverty line, about $37,700 annual income for a family of three in…
Renewal
Annual renewal & unwinding
Alabama Medicaid redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% of di…
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/.
More on Alabama from Black Health
FQHCs
Federally Qualified Health Centers in Alabama
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in Alabama
Filter our directory to Alabama by specialty.
Health data
Black Health outcomes in Alabama
Maternal mortality, life expectancy, uninsured rate by race.
Sickle cell
Medicaid gene-therapy coverage in Alabama
Does Alabama Medicaid cover Casgevy + Lyfgenia? SCDAA chapter, comprehensive centers.
Hospitals
Safety-net hospitals in Alabama
CMS ratings, Medicaid-accepting hospitals, and which facilities anchor care for Black patients.
Tool
Medicaid eligibility pre-check for Alabama
Household size and income, in about a minute. Direct link to Alabama’s apply portal.
WIC
WIC in Alabama
Adjunctive WIC eligibility for everyone on Alabama Medicaid, monthly food package + Cash-Value Benefit.
SNAP
SNAP (food stamps) in Alabama
Federal food assistance: FY 2025 max benefits, ABAWD rules, application URL for Alabama.
TANF
TANF cash assistance in Alabama
Alabama’s maximum monthly TANF cash benefit, time limits, and how to apply.
Data sources
- Alabama Medicaid — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
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 verified 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:
Affiliate