The Alabama Medicaid Agency runs 11 district offices across the state: Auburn, Birmingham, Decatur, Dothan, Florence, Gadsden, Huntsville, Mobile, Montgomery, Selma, and Tuscaloosa. Each office covers a specific group of counties, and each one handles applications for elderly and disabled Medicaid, nursing home care, and Medicare Savings Programs. If you are applying for a child, a pregnant woman, or a parent or caretaker relative, you do not need to visit a district office at all. Those applications go online through Insure Alabama or through one of more than 100 outstationed workers at county health departments, federally qualified health centers, and hospitals.
Alabama is one of the states that has not expanded Medicaid under the Affordable Care Act. That changes who can walk into an office and get covered, so the income limits in this guide matter as much as the addresses.
Which Agency Handles Your Alabama Medicaid Application
Alabama splits benefits across three agencies, and going to the wrong one is the most common reason an Alabama application stalls.
| Agency | What it handles | Where to go |
|---|
| Alabama Medicaid Agency | Medicaid eligibility for nearly all applicants: children, pregnant women, parents and caretaker relatives, elderly and disabled, nursing home, HCBS waivers, Medicare Savings Programs, Plan First | 11 district offices, Insure Alabama online, mail, or outstationed workers |
| Alabama Department of Human Resources (DHR) | SNAP (food assistance), Family Assistance (TANF), child care subsidy, and Medicaid tied to foster care and adoption assistance under Title IV-E | County DHR offices and the MyDHR portal |
| Alabama Department of Public Health (ADPH) | ALL Kids, the state CHIP program for children above the Medicaid limit | Insure Alabama online, or 1-888-373-5437 |
The practical takeaway: Medicaid is not on MyDHR. MyDHR is the DHR portal for food assistance and cash assistance. If you need health coverage, you apply through the Medicaid Agency, which is a completely separate system with a separate login. People who submit a MyDHR application expecting Medicaid often wait weeks before learning nothing was filed.
All 11 Alabama Medicaid District Office Locations
These addresses and phone numbers come from the Alabama Medicaid Agency's official office locations page. Addresses do change. The Birmingham office, for example, relocated to Beacon Ridge Tower, so confirm against the official locator before you drive anywhere.
| Office | Address | Phone (toll free) | Fax |
|---|
| Auburn | 687 North Dean Road, Suite 300, Auburn, AL 36830 | (866) 371-4072 | (334) 466-8943 |
| Birmingham | Beacon Ridge Tower, Suite 300, 600 Beacon Pkwy West, Birmingham, AL 35209 | (866) 371-4073 | (877) 814-8302 |
| Decatur | 2119 Westmead Dr. SW, Suite 1, Decatur, AL 35603 | (866) 371-4074 | (877) 814-8304 |
| Dothan | 2652 Fortner St., Suite 4, Dothan, AL 36305 | (866) 371-4075 | (877) 814-8305 |
| Florence | 412 S. Court Street, Suite 200, Florence, AL 35630 | (866) 371-4076 | (877) 814-8303 |
| Gadsden | 200 West Meighan Blvd., Suite D, Gadsden, AL 35901 | (866) 371-4077 | (877) 814-8306 |
| Huntsville | 6515 University Drive NW, Suite B, Huntsville, AL 35806 | (855) 733-3160 | (877) 295-8813 |
| Mobile | 2800 Dauphin Street, Suite 105, Mobile, AL 36606 | (866) 371-4078 | (877) 814-8308 |
| Montgomery | 200 Interstate Park Drive, Suite 207, Montgomery, AL 36109 | (866) 621-6509 | (877) 814-8307 |
| Selma | 106 Executive Park Lane, Selma, AL 36701 | (866) 371-4079 | (877) 814-8311 |
| Tuscaloosa | 907 22nd Avenue, Tuscaloosa, AL 35401 | (866) 371-4080 | (877) 814-8310 |
If you cannot reach a district office, the statewide Recipient Call Center answers at (800) 362-1504, Monday through Friday, 8:00 a.m. to 4:30 p.m.
Find Your Office by County
Alabama has 67 counties and 11 offices, so most offices cover a cluster of counties. Use this list to find yours.
| District office | Counties served |
|---|
| Auburn | Chambers, Clay, Coosa, Lee, Macon, Randolph, Russell, Talladega, Tallapoosa |
| Birmingham | Jefferson, Shelby, St. Clair |
| Decatur | Cullman, Morgan |
| Dothan | Barbour, Coffee, Covington, Crenshaw, Dale, Geneva, Henry, Houston, Pike |
| Florence | Colbert, Franklin, Lauderdale, Lawrence, Marion, Winston |
| Gadsden | Blount, Calhoun, Cherokee, Cleburne, DeKalb, Etowah, Marshall |
| Huntsville | Jackson, Limestone, Madison |
| Mobile | Baldwin, Clarke, Escambia, Mobile, Washington |
| Montgomery | Autauga, Bullock, Butler, Chilton, Elmore, Lowndes, Montgomery |
| Selma | Choctaw, Conecuh, Dallas, Marengo, Monroe, Perry, Sumter, Wilcox |
| Tuscaloosa | Bibb, Fayette, Greene, Hale, Lamar, Pickens, Tuscaloosa, Walker |
What District Offices Do and Do Not Handle
District offices are set up to receive and process three categories of application:
- Elderly and Disabled Medicaid for people who are aged, blind, or disabled and not already covered through SSI
- Nursing home (institutional) Medicaid and Home and Community Based Services waivers
- Medicare Savings Programs that pay Medicare premiums and, in some cases, deductibles and coinsurance
Some district office buildings also house Family Certification staff who process applications for pregnant women, children, parents and other caretaker relatives, and the Plan First family planning program. Not every office does, which is why calling ahead saves a trip.
What a district office does not do: it does not take SNAP or cash assistance applications, and it does not make disability determinations. Alabama Medicaid accepts the Social Security Administration's disability decision, so if you are applying based on disability and have no SSA decision yet, you apply for SSI or SSDI with Social Security first.
Outstationed Workers: The Option Most People Miss
The Medicaid Agency places more than 100 outstationed workers at county health departments, federally qualified health centers, and some hospitals. These workers take applications for pregnant women, children, parents and caretaker relatives, and Plan First. For most families, an outstationed worker at the local health department is far closer than the nearest district office.
There is no public list of every outstationed site. Call (800) 362-1504 and ask for the location nearest your ZIP code. Each county also has an assigned Family Certification supervisor whose name, email, and direct phone number are published on the Medicaid Agency's office locations page. If your application has gone quiet, that supervisor is the person to contact.
How to Apply for Alabama Medicaid in 2026
You have five routes, and the right one depends on which program you need.
- Online through Insure Alabama. Go to insurealabama.adph.state.al.us. This is the joint application that screens a child for Medicaid and ALL Kids at the same time, and it also covers pregnancy coverage and parent or caretaker coverage. It is the fastest route for families.
- By mail. Send a signed paper application to Alabama Medicaid, P.O. Box 5624, Montgomery, AL 36103-5624.
- By email. Long-term care and Medicare-related applications can be emailed to apply@medicaid.alabama.gov. Use Form 204/205 for nursing home and HCBS waiver applications, and Form 211 for Medicare Savings Programs.
- In person at a district office. Bring your documents and ask for an eligibility worker. For an existing case, call your assigned caseworker to arrange the visit.
- Through an outstationed worker at a county health department, FQHC, or participating hospital.
If you are applying through Healthcare.gov and your income turns out to be low enough for Medicaid, the Marketplace forwards your information to Alabama Medicaid. That handoff is not instant, so follow up with the Recipient Call Center if you do not hear anything within a few weeks.
Documents to Bring
Having these ready is the difference between one visit and three:
- Photo ID for the applicant
- Social Security numbers for everyone applying
- Proof of Alabama residency, such as a lease, utility bill, or mortgage statement
- Proof of citizenship or qualifying immigration status
- Recent pay stubs, a benefit award letter, or a self-employment ledger for all household income
- Bank statements, and statements for any other resources, if you are applying for an SSI-related, nursing home, or waiver program
- Medicare card, if you have one, for Medicare Savings Program applications
- Current health insurance information, if anyone in the household is covered
Resource documentation is only required for the SSI-related and long-term care categories. The MAGI categories for children, pregnant women, and parents have no asset test.
2026 Alabama Medicaid Income Limits
These figures come from the Alabama Medicaid Agency's 2026 income limits handout (Form 207, dated January 2026). Walking in knowing the number for your category tells you what to expect before an eligibility worker does.
Children, Pregnant Women, and Plan First (146% FPL)
The 146% threshold already includes the standard 5 percentage point FPL disregard, and these are figures after allowable deductions.
| Family size | Monthly income limit |
|---|
| 1 | $1,942 |
| 2 | $2,633 |
| 3 | $3,324 |
| 4 | $4,015 |
Children above this limit are screened for ALL Kids, the state CHIP program, which reaches roughly 317% FPL. ALL Kids has its own low fee and fee tiers with modest annual premiums and copays. New ALL Kids income guidelines took effect February 1, 2026.
Parents and Caretaker Relatives (18% FPL)
| Family size | Monthly income limit |
|---|
| 1 | $240 |
| 2 | $325 |
| 3 | $410 |
| 4 | $495 |
This is one of the strictest parent thresholds in the country. A parent working any meaningful number of hours will usually be over it. Because Alabama has not expanded Medicaid, a parent above $495 per month for a family of four and below the Marketplace subsidy floor falls into the coverage gap, with no Medicaid and no premium tax credit.
Aged, Blind, and Disabled
| Category | Monthly income limit | Resource limit |
|---|
| SSI related, individual | $1,014 | $2,000 |
| SSI related, couple | $1,511 | $3,000 |
| Nursing home (institutional) | $2,982 | $2,000 |
| Elderly and Disabled Waiver | $2,982 | $2,000 |
| Independent Living Waiver | $2,982 | $2,000 |
| Intellectual Disabilities Waiver | $2,982 | $2,000 |
| Technology Assisted Waiver for Adults | $2,982 | $2,000 |
Medicaid through SSI is applied for with the Social Security Administration, not at a district office.
Medicare Savings Programs (effective February 2026)
| Program | Individual | Couple |
|---|
| QMB (Qualified Medicare Beneficiary) | $1,350 | $1,824 |
| SLMB (Specified Low Income Medicare Beneficiary) | $1,616 | $2,184 |
| QI-1 (Qualifying Individual) | $1,816 | $2,455 |
Resource limits do not apply to the Medicare Savings Programs in Alabama. If both spouses have Medicare, combined income must stay under the couple limit. If only one spouse has Medicare, the applicant's own income must stay under the individual limit and the couple's combined income under the couple limit.
For a full breakdown of Alabama's programs beyond Medicaid, see our Alabama benefits guide.
Frequently Asked Questions
How many Medicaid offices are there in Alabama?
The Alabama Medicaid Agency operates 11 district offices, located in Auburn, Birmingham, Decatur, Dothan, Florence, Gadsden, Huntsville, Mobile, Montgomery, Selma, and Tuscaloosa. Those 11 offices cover all 67 Alabama counties. More than 100 additional outstationed workers are placed at county health departments, federally qualified health centers, and hospitals.
Can I apply for Alabama Medicaid at a DHR office?
Generally no. County DHR offices handle SNAP, Family Assistance, and child care subsidy, plus Medicaid tied to foster care and adoption assistance. For regular Medicaid you apply through the Alabama Medicaid Agency, either online at Insure Alabama, by mail, or through a district office or outstationed worker.
What are Alabama Medicaid office hours?
District office hours vary by location, and state offices sometimes close early for weather or holidays. The statewide Recipient Call Center is open Monday through Friday, 8:00 a.m. to 4:30 p.m. at (800) 362-1504. Call your district office before visiting to confirm hours and whether you need an appointment.
Do I have to go to an office in person to apply?
No. Children, pregnant women, parents and caretaker relatives, and Plan First applicants can apply entirely online through Insure Alabama. Nursing home, waiver, and Medicare Savings Program applications can be mailed to P.O. Box 5624, Montgomery, AL 36103-5624 or emailed to apply@medicaid.alabama.gov.
Which office handles my county?
Match your county to the district office in the county list above. If your county is not clear to you, or you want the nearest outstationed worker instead of a district office, call (800) 362-1504 and give them your ZIP code.
I am a childless adult in Alabama. Can I get Medicaid?
Usually not through income alone. Alabama has not expanded Medicaid, so non-disabled adults without dependent children generally do not qualify regardless of how low their income is. Coverage pathways that remain include a disability determination through Social Security, pregnancy, Plan First family planning coverage, and the Breast and Cervical Cancer program through the Alabama Department of Public Health. Marketplace subsidies through Healthcare.gov are another option if your household income reaches the subsidy floor.
What if my address is listed differently somewhere else?
Trust the Alabama Medicaid Agency's own locator over third party directories and map listings, which are frequently out of date. The Birmingham office move to Beacon Ridge Tower is a good example of a change that lingered on other sites for a long time. Check the official office locations page and call the number listed there before traveling.
Sources
- Alabama Medicaid Agency, Medicaid Office Locations
- Alabama Medicaid Agency, Contacts for Applicants
- Alabama Medicaid Agency, Form 207 Medicaid Income Limits for 2026 (January 2026)
- Alabama Medicaid Agency, Birmingham District Office New Location notice
- Alabama Department of Public Health, ALL Kids Income Guidelines (effective February 1, 2026)
