Frequently Asked Questions

Patient 1st

More than 420,000 Alabamians currently participate in Patient 1st, a primary care case management (PCCM) program operated by the Alabama Medicaid Agency.
Below are some questions often asked about this program. Click on the questions to see the answers:

Medicaid's Patient 1st program is set up to provide patient-centered, quality-focused care by creating a medical home for each Medicaid recipient. Each recipient has a primary medical provider (PMP) who provides or arranges the recipient's health care needs.
The following provider types are eligible to serve as PMPs for the Patient 1st program: Family Practitioners, General Practitioners, Pediatricians, Internists and OB/GYNs. When in the best interest of a patient(e.g. children with special health care needs), a non-traditional PMP may be chosen. Other physicians may be considered for PMP participation if willing to meet all contractual requirements.
PMPs are contractually required to provide 24/7 coverage for recipients assigned to them. It is important that patients be able to contract their PMP to receive instruction or care at all times so that care will be provided in the most appropriate manner to the patient's condition. PMPs must have an after-hours telephone number that connects the patient to the PMP or an authorized medical practitioner, connect the patient to a live voice call center system or answering service who will direct the patient to the appropriate care site or contact the PMP/authorized medical practitioner, or to a hospital if the PMP has standing orders with the hospital to direct patients to the appropriate care site.
Patient 1st is mandatory for most Medicaid recipients, including children (except foster children), parents or other caretaker relatives (formerly known as Medicaid for Low Income Families), refugees, and infants of SSI mothers, as well as aged, blind and disabled persons who are not on Medicare.
Please send Alabama Medicaid your full name, date of birth, current mailing address, and either the last four of your Social Security Number or Medicaid Number, along with the old email address and (your new) alternate email address. Then, a temporary password and User ID will be sent to let you get into and update your account.