Proposed Section 1115 Waiver - Serious Mental Illness

Through this waiver application, Alabama Medicaid is seeking federal authority to reimburse for acute inpatient stays in institutions for mental disease (IMD) for individuals ages 21-64 diagnosed with a serious mental illness (SMI). Reimbursement will be limited to IMDs operating in the Mobile, Washington and Baldwin counties to target the unique inpatient behavioral health access issues in that region. Medicaid enrollees will be able to access services via the IMDs participating in the demonstration, regardless of their county of residence. The proposed effective date of the waiver is October 1, 2021, pending CMS approval.

Waiver Documents


Questions regarding this waiver application may be submitted by email to or by mail c/o Administrative Secretary, Alabama Medicaid Agency, PO Box 5624, Montgomery, AL 36103-5624.