About Medicaid
Long Term Care Workgroup
Boards & Committees
News Articles
Regional Care Organizations
Topics & Issues
General Information
Qualifying for Medicaid
Applications & Forms
Contacts & Locations
LTC Partnership Program
Apply Online
Expedite Online Nursing Home Application System
Health Homes
Covered Services
Long Term Care Services
Medical Services
Pharmacy Services / DME
Quality Initiatives
Meaningful Use
Other Programs
Patient 1st
APEC - Perinatal Collaborative
Integrated Care Networks
A – Z Index
Administrative Code
Forms Library
Online Catalog
Site Map
State Plan
Other State Medicaid Programs
Benefit Coordination/Third Party
Checkwrite Schedules
Vendor Companion Guides
Frequently Asked Questions
Fee Schedules
News & Notices
Prior Authorization
Provider Electronic Solutions Software
Provider Enrollment
Release of Information
CAQH CORE Operating Rules
Secure Web Portal - Logon
What is Fraud & Abuse?
Medicaid Program Integrity Division
Consumer Protection & Privacy
Preventing Fraud - Recipients
Preventing Fraud - Providers
Reporting Fraud and Abuse
Suspended Providers
Recovery Audit Contractor Audits
Provider Education Checklists
Medicaid Contacts
HP Contact Information
Contact Information for Applicants
Electronic Media Claims Helpdesk
Provider Assistance Center
Provider Enrollment
My Medicaid
Apply Online
Applicant/Recipient Forms
Change Patient 1st Doctor
Educational Documents
Helpful Links
Spanish-Language Documents
Advance Directives
Update Health Insurance Info
Frequently Asked Questions
Medicaid Staff login
About Medicaid
Administrative Code
Checkwrite schedule
Covered Services/Co-pays
State Plan
Estate Recovery and Property Liens

The Payment Review section is responsible for the collection of outstanding funds due to the Medicaid Agency, including recipient overpayment, estate recovery and property liens.

  • Estate Recovery

    The Estate Recovery program enables the state to recover taxpayer funds spent by Medicaid on behalf of the recipient for medical services. Recovery is made from the estate of certain deceased recipients who had qualified assets at the time of their death. This program is required by federal law.

    Health Management Systems (HMS) works on behalf of Alabama Medicaid in its estate recovery efforts. Recipient sponsors and personal representatives may receive letters and questionnaires from HMS to identify potential estate recovery cases.  Call 1-855-543-8395 if there are any questions regarding a letter or questionnaire sent by HMS. Medicaid does not have information on cases identified by HMS.

  • The Estate Recovery Unit is responsible for recovering funds from the estates of deceased individuals aged 55 and over and other Medicaid-certified individuals with certain types of trusts. These include Qualifying Income Trust Packet, Special Needs Trusts and the Alabama Family Trust.

    Questions regarding estate recovery should be directed to Codie Rowland,
    334-242-5652, or Teresa Dunbar, 334-242-5311.

  • Property Liens

    A lien placed on real property at the time of application allows a person to become Medicaid eligible despite having ownership interest in property.  These TEFRA (pre-death) liens are used by the Medicaid Agency for institutionalized individuals. Without the lien, the applicant or family would have to pay his/her medical expenses or would have to sell the property, spend down the money, and reapply.  A property lien is not taken when certain situations exist in the home. 

    In other special circumstances, a property lien may also be placed on a recipient’s real and personal property after the recipient’s death.

    The Liens Operations Unit is also responsible for handling liens placed on property. Questions regarding property liens should be directed to Cindy Byrd, 334-242-5304, or DaRhonda Jackson  334-242-5888.