More than 420,000 Alabamians currently participate in Patient 1st, a
primary care case management (PCCM) program operated by the Alabama
Medicaid Agency. The present program was approved by the Centers for
Medicare and Medicaid Services (CMS) in August 2004 and includes
expanded technology and tools to help doctors and other health
professionals better manage the increasing cost of health care while
promoting better care for Medicaid patients.