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Medicaid / Alabama

Medicaid for Home Care in Alabama

Medicaid Certified Home Care Agency in Alabama

Home care businesses are eligible for Medicaid reimbursement if they are a certified Home Health Agency (HHA). States have issued checklists regarding licensing and certification that should be considered by the home care service providers. Moreover, as per Medicaid in Alabama, some of the non-medical private-duty agencies could be offered waivers regarding certifications.

Home care agencies or startups should get the required details from their state’s Human Service Department or the Bureau of Licensing and Certification.

Governing Body: Alabama Medicaid

Overview:

Medicaid programs in Alabama are funded by the state and federal government and provide health coverage for seniors, pregnant women, parents, children, disabled people, and caregivers. Anyone outside these groups, even with low-income, is not covered under Medicaid.

Medicaid Programs:

  • Medicaid Plan First
  • Medicaid in the Nursing Home
  • Breast & Cervical Cancer Screening Program
  • Alabama Elderly and Disabled Waiver (E & D)
  • Alabama Personal Choices (PC)
  • Alabama SAIL Waiver
  • Alabama Community Transition Waiver (ACT)

Income Requirements:

  • Starting from $1,520 up to $3,133 a month for children and pregnant women
  • Starting from $188 and up to $387 a month for parents and caregivers
  • $2,313 or less per month for elderly and disabled who have assets worth $2,000 or less as money in checking or savings, real estate, etc. per month

Application Process:

The application process for accessing Medicaid is not complex; anyone can apply for Medicaid programs by visiting Insure Alabama.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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