Alabama Medicaid — Alabama Medicaid (FFS + Alabama Coordinated Health Network)
| Program name | Alabama Medicaid (FFS + Alabama Coordinated Health Network) |
|---|---|
| Provider portal | https://medicaid.alabama.gov |
| FFS claims payer ID | No single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse. |
| Medicaid timely filing | 365 days from date of service |
The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Alabama Medicaid provider portal before filing a late-billing appeal.
BCBS licensee in Alabama
The Blue Cross Blue Shield Association licensee in Alabama is Blue Cross and Blue Shield of Alabama. See the BCBS Alabama payer guide for payer ID, timely filing, prior auth, and appeal procedures.
Top commercial payers in Alabama
The dominant commercial insurers operating in Alabama, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.
Medicaid MCOs in Alabama
Alabama Medicaid MCO data has not yet been populated in the registry.
State-specific regulations affecting Alabama billing
- Ala. Code §27-1-17 (prompt pay — 45 days clean claim, 1% per month interest)
- Ala. Admin Code 560-X-15-.06 (Medicaid timely filing)
- Ala. Code §22-21-290 (hospital financial assistance)
Provider licensing & enrollment in Alabama
Providers enroll via Alabama Medicaid Interactive Services Center (ISC) operated by DXC Technology. ACHN participation requires separate attestation.
Major health systems headquartered in Alabama
| Health system | Headquarters |
|---|---|
| UAB Medicine (University of Alabama at Birmingham Health System) | Birmingham, AL |
| Infirmary Health | Mobile, AL |
| Huntsville Hospital Health System | Huntsville, AL |
| USA Health (University of South Alabama) | Mobile, AL |
| Baptist Health (Montgomery) | Montgomery, AL |
Frequently asked questions — Alabama billing
What is the Alabama Medicaid program called?
Alabama's Medicaid program is known as Alabama Medicaid (FFS + Alabama Coordinated Health Network). Providers enroll and manage claims through the provider portal at https://medicaid.alabama.gov.
What is the Alabama Medicaid timely filing limit?
Alabama Medicaid (FFS + Alabama Coordinated Health Network) requires initial claims to be filed within 365 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Alabama's 365-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.
Does Alabama Medicaid publish a single claims payer ID?
No single canonical claims payer ID is published for Alabama Medicaid (FFS + Alabama Coordinated Health Network). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.
Who are the largest commercial insurers in Alabama?
The dominant commercial payers in Alabama include BCBS Alabama, UnitedHealthcare, Aetna, Cigna, Humana, along with the BCBS licensee Blue Cross and Blue Shield of Alabama. Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.
What Medicaid managed-care organizations operate in Alabama?
Alabama Medicaid MCO data has not yet been populated in the registry. Consult the state Medicaid portal for the current MCO roster.
What state-specific billing regulations apply in Alabama?
Alabama has 3 tracked state-level statutes that affect medical billing and RCM: Ala. Code §27-1-17 (prompt pay — 45 days clean claim, 1% per month interest); Ala. Admin Code 560-X-15-.06 (Medicaid timely filing); Ala. Code §22-21-290 (hospital financial assistance). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.
Run cleaner claims in Alabama with QuickIntell
QuickRCM, QuickAuth, and QuickERA are tuned to Alabama Medicaid (FFS + Alabama Coordinated Health Network) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Alabama Medicaid and the member ID card before submission.