Nursing Home Care

Approximately three of every four nursing home patients in Alabama are covered by the Alabama Medicaid Agency. In order to qualify for nursing home care, patients must meet medical, financial and other requirements. Click here to apply for Medicaid in the nursing home. A Long Term Care Ombudsman program is available to assist patients and families in resolving problems or concerns with a particular nursing facility.

• Administrative Code - Chapter 10 - Long Term Care
• Provider Manual - Chapter 26 - Nursing Facility
• Fact Sheet (LTC Ombudsman Program)
• Presentation - LTC Ombudsman Program
• Presentation - Healthcare Compensations Solutions
• Presentation - Medical & Quality Review Services & Qualis Health Long Term Care Review Services
• Agreement for Care - Form 154
• Long Term Care Forms
• ALERT - Handling Funds Following Death of Medicaid-Eligible Resident - 8/20/14
• NH Alert 08/20/14- Patient/Resident Trust Flow Chart
• FAQs from ALERT of 8/20/14 - 12/22/23
• Licensure and Certification - ADPH link
• Checklist for Nursing Home Care - Information on denials, reasons for recoupments, where to find information in the Medicaid Provider Billing Manual, free tools and contacts for providers to use in preventing fraud and abuse.
• Provider Notice - Nursing Home Program Changes
• OBRA Pre-Admission Screening - Medicaid contracts with the Alabama Department of Mental Health to review the application of each person seeking placement in a long term care facility to ensure the patient's placement is appropriate for that person. For more information, contact the OBRA Pre-Admission Screening Office at 334-242-3946 or 1-800-548-2188.