Alabama Medicaid

Information About Alabama Medicaid

Alabama Medicaid is a program that pays for routine dental care for the children of Alabama under the age of 21 years, as long as the child is eligible for full Medicaid. Most children are no longer eligible after their 19th birthday unless they qualify for another category. Adults age 21 and older are not eligible for dental coverage through Medicaid.

More than a million Alabama residents each year qualify for full or partial Medicaid coverage. To qualify for Alabama Medicaid, applicants must meet and provide proof of income, meet age requirements, 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.

Alabama Medicaid dental services must be provided by or under the supervision of licensed dentists enrolled as Medicaid dental providers. Routine procedures involving the teeth covered* by Medicaid include:

• Non-surgical periodontal treatment, e.g. periodontal scaling and/or root planing
• Outpatient or inpatient hospitalization coverage and dental services performed in skilled nursing facilities (SNF) for medically necessary dental procedures on children
• Limited outpatient and inpatient hospitalization coverage for adults with dental problems exacerbating medical conditions (the dental procedures themselves are not covered, only facility and anesthesia services)
• Orthodontic services considered medically necessary for children with cleft lip/palate and/or other severe facial and cranial abnormalities, and who are served through Children’s Rehabilitation Services

*Certain services require prior authorization by written request to Medicaid. Requests should be submitted at least two weeks prior to the anticipated date of the procedure.

Alabama Medicaid does NOT cover the following services:

• Routine orthodontic care, e.g. braces
• Routine partials, dentures or bridgework
• All-porcelain crowns
• Periodontal or gum surgery dental benefits are NOT provided for:
  • Any female covered only for family planning services under the Plan First Program.
  • Any recipient with partial Medicaid coverage

To find out more about these services at Advantage Dental, find a practice near you and call for more information. We have financing options available for all families.

Additional Resources About Alabama Medicaid

For more information about Alabama Medicaid, please review the following links:

• Information about the Alabama Medicaid dental program
• Are you a Medicaid recipient?
• Frequently asked questions about Alabama Medicaid

Does Your Child Qualify for Alabama Medicaid?

In order for your child to qualify for Alabama Medicaid, they must meet the following criteria:

• Children must be under age 19 and live in Alabama
• Children may be living in one or two parent families
• The income of all people included in the "family size" is counted
• The income of the legal parent (including adoptive parent) and step-parent to the child(ren) is counted if they are included in the child(ren)'s family size
• If the child does not qualify for Medicaid due to income, the application will be processed for the ALL Kids program
• Child must be a US citizen or be in satisfactory immigration status according to agency rules

Eligibility determination can only be made when a complete application complete and received by the correct office or worker.

Alabama ALL Kids Health Care Program

ALL Kids is a low-cost health care coverage program for children under age of 19 years. Benefits include regular checkups and immunizations, sick child doctor visits, prescriptions, vision and dental care, hospitalization, mental health and substance abuse services, and much more.

• ALL Kids is administered by the Alabama Department of Public Health and provides low-cost healthcare coverage for children and teens under age of 19 years, who live in Alabama
• Frequently asked questions about ALL Kids

Benefits of ALL Kids Health Care Program

ALL Kids uses Blue Cross Blue Shield of Alabama (BCBSAL) to provide services through their preferred provider network. If your child is approved, coverage will begin on the first day of the month after the application is received.

Benefits of ALL Kids include:

• 12 months continuous coverage
• Doctor visits, including check-ups
• Mental health/substance abuse services
• Hospital and physician care
• Immunizations
• Prescriptions
• Dental and vision care
• Emergency services

Learn more about ALL Kids benefits

Does Your Child Qualify for the ALL Kids Health Care Program?

In order for your child to qualify for the ALL Kids health care program, they must meet the following criteria:

• Under the age of 19 years
• Must be a U.S. citizen or an eligible immigrant
• Not covered by other insurance
• Not a resident in an institution
• Not covered by or eligible for Medicaid

Income Eligibility for ALL Kids Health Care Program

Income eligibility determination can only be made when a complete application is received by ALL Kids. Please note, even if your income falls outside of the below guidelines, you may still be eligible for coverage — the only way to know for sure is to apply.

2023 ALL Kids Monthly Income Guidelines - Effective 2/1/2023