AL MEDICAID MARKET
Alabama
monitoring
No current verified market signal.
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 15
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Alabama Coordinated Health Network | not reported | 811,224 (2024) | 100.0% calculated | not reported |
| not reported | Alabama Coordinated Health Networks | not reported | 838,985 (2020) | 100.0% calculated | not reported |
| not reported | Health Homes | not reported | 230,966 (2018) | 100.0% calculated | not reported |
| not reported | Maternity Care Plan | not reported | 32,463 (2019) | 100.0% calculated | not reported |
| not reported | Maternity Program | not reported | 14,848 (2017) | 100.0% calculated | not reported |
show all 15
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Patient 1st | not reported | 611,251 (2018) | 100.0% calculated | not reported |
| not reported | Alabama Coordinated Health Network | not reported | 928,513 (2021) | 100.0% calculated | not reported |
| not reported | Alabama Select Network | not reported | 26,388 (2024) | 100.0% calculated | not reported |
| not reported | Mercy Life of Alabama | not reported | 193 (2024) | 100.0% calculated | not reported |
| not reported | Health Homes | not reported | 230,519 (2016) | 26.3% calculated | not reported |
| not reported | Maternity Program | not reported | 17,661 (2016) | 100.0% calculated | not reported |
| not reported | Mercy Life of Alabama | not reported | 175 (2016) | 100.0% calculated | not reported |
| not reported | Mercy Life of Alabama | not reported | 174 (2018) | 100.0% calculated | not reported |
| not reported | Multiple primary care providers | not reported | 809,137 (2019) | 100.0% calculated | not reported |
| not reported | Patient 1st | not reported | 646,851 (2016) | 73.7% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
Alabama Coordinated Health Network (ACHN) (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Coordinated Health Network | Alabama Coordinated Health Network | Alabama Coordinated Health Network | Statewide | not reported | not reported | not reported | not reported | 2022: 1,003,894 |
Alabama Coordinated Health Network (ACHN) (Primary Care Case Management Entity (PCCM Entity))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Coordinated Health Network | Blue Cross Blue Shield (dba Alahealth), Huntsville Hospital System, VIVA Health Plan | Blue Cross Blue Shield (dba Alahealth), Huntsville Hospital System, VIVA Health Plan | Statewide | not reported | not reported | not reported | not reported | 2021: 928,513 |
Alabama Coordinated Health Network (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Coordinated Health Network | Alabama Coordinated Health Network | Alabama Coordinated Health Network | Statewide | CMS reported 811,224 (2024) | 100.0% | -238,349 (-22.7%) | 0.0 pts | 2023: 1,049,573; 2024: 811,224 |
Alabama Coordinated Health Networks (Primary Care Case Management Entity (PCCM Entity))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Coordinated Health Networks | Alabama Coordinated Health Networks | Alabama Coordinated Health Networks | Statewide | not reported | not reported | not reported | not reported | 2020: 838,985 |
Health Homes (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Homes | Alabama Medicaid Agency | Alabama Medicaid Agency | Statewide | not reported | not reported | not reported | not reported | 2018: 230,966 |
| Multiple primary care providers | Multiple primary care providers | unmatched | Statewide | not reported | not reported | not reported | not reported | 2019: 253,128 |
Integrated Care Network (ICN) (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Select Network | Senior Select Partners | Senior Select Partners | Statewide | not reported | not reported | not reported | not reported | 2022: 24,041 |
Integrated Care Network (ICN) (Primary Care Case Management Entity (PCCM Entity))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Select Network | Senior Select Partners | Senior Select Partners | Statewide | not reported | not reported | not reported | not reported | 2021: 22,500 |
Integrated Care Network (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Select Network | Senior Select Partners | Senior Select Partners | Statewide | CMS reported 26,388 (2024) | 100.0% | +580 (+2.2%) | 0.0 pts | 2023: 25,808; 2024: 26,388 |
Integrated Care Network (Primary Care Case Management Entity (PCCM Entity))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Alabama Select Network | Senior Select Partners | Senior Select Partners | Statewide | not reported | not reported | not reported | not reported | 2018: 0; 2019: 28,018; 2020: 22,773 |
Maternity Care Program (Other Prepaid Health Plan (PHP) (limited benefits))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Maternity Care Plan | Alabama Medicaid Agency | Alabama Medicaid Agency | Barbour, Bibb, Blount, Calhoun, Chambers, Cherokee, Chilton, Choctaw, Clay, Cleburne, Coffee, Colbert, Coosa, Cullman, Dale, Dallas, DeKalb, Etowah, Fayette, Franklin, Geneva, Greene, Hale, Henry, Houston, Jackson, Jefferson, Lamar, Lauderdale, Lawrence, Lee, Limestone, Macon, Madison, Marengo, Marion, Marshall, Mobile, Morgan, Perry, Pickens, Randolph, Russell, St. Clair, Shelby, Sumter, Talladega, Tallapoosa, Tuscaloosa, Walker, Wilcox, and Winston Counties | not reported | not reported | not reported | not reported | 2018: 22,844 |
| Maternity Care Plan | Alabama Medicaid Agency | Alabama Medicaid Agency | Statewide minus the following counties: Autuaga, Butler, Bullock, Crenshaw, Elmore, Lowdnes, Montgomery, Pike, Baldwin, Clarke, Conecuh, Covington, Escambia, Monroe and Washington Counties | not reported | not reported | not reported | not reported | 2019: 32,463 |
| Maternity Program | Alabama Medicaid Agency | Alabama Medicaid Agency | Statewide minus the following counties: Autuaga, Butler, Bullock, Crenshaw, Elmore, Lowdnes, Montgomery, Pike, Baldwin, Clarke, Conecuh, Covington, Escambia, Monroe and Washington | not reported | not reported | not reported | not reported | 2017: 14,848 |
Maternity Program (Other Prepaid Health Plan (PHP) (limited benefits))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Maternity Program | not reported | unmatched | Statewide minus the following counties: Autuaga, Butler, Bullock, Crenshaw, Elmore, Lowdnes, Montgomery, Pike | not reported | not reported | not reported | not reported | 2016: 17,661 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Mercy Life of Alabama | Trinity Health | Trinity Health | Mobile and Baldwin Counties | not reported | not reported | not reported | not reported | 2017: 172; 2018: 174; 2020: 166 |
| Mercy Life of Alabama | Trinity Health | Trinity Health | Mobile and Baldwin counties | not reported | not reported | not reported | not reported | 2021: 161 |
| Mercy Life of Alabama | not reported | unmatched | Mobile and Baldwin County | not reported | not reported | not reported | not reported | 2016: 175 |
Patient 1st (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Health Homes | Alabama Medicaid Agency | Alabama Medicaid Agency | Statewide | not reported | not reported | not reported | not reported | 2016: 230,519; 2017: 224,987 |
| Multiple primary care providers | Multiple primary care providers | unmatched | Statewide | not reported | not reported | not reported | not reported | 2019: 809,137 |
| Patient 1st | Alabama Medicaid Agency | Alabama Medicaid Agency | Statewide | not reported | not reported | not reported | not reported | 2016: 646,851; 2017: 621,899; 2018: 611,251 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Mercy Life of Alabama | Trinity Health | Trinity Health | Mobile and Baldwin Counties | CMS reported 193 (2024) | 100.0% | not reported | not reported | 2022: 179; 2024: 193 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Mercy Life of Alabama | Trinity Health | Trinity Health | Mobile and Baldwin Counties | not reported | not reported | not reported | not reported | 2019: 173 |
Program of All-Inclusive for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Mercy Life of Alabama | Trinity Health | Trinity Health | Mobile and Baldwin Counties | not reported | not reported | not reported | not reported | 2023: 183 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
Appeals, grievances, and enrollment share (2024) 8
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Alabama Care Network Mid-State | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 11.2% | 0% |
| Alabama Care Network Southeast | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 10.1% | 0% |
| Gulf Coast Total Care | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 13.2% | 0% |
| My Care Alabama Central | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 10.4% | 0% |
| My Care Alabama East | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 11.3% | 0% |
show all 8
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| My Care Alabama Northwest | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 10.4% | 0% |
| North Alabama Community Care | unmatched | Alabama Coordinated Health Network | not reported | not reported | not reported | not reported | 11.2% | 0% |
| Alabama Select Network (ASN) | Senior Select Partners | Integrated Care Network | not reported | not reported | not reported | not reported | 2.4% | 0% |
Sanctions (2024)
Sanctions (2024) 14
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Alabama Care Network Mid-State | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| Alabama Care Network Mid-State | unmatched | Other, specify (Documentation Audit Review) | 2024-12-06 | Yes | Remediation in progress |
| Alabama Care Network Southeast | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| Alabama Care Network Southeast | unmatched | Other, specify (Documentation Audit Review) | 2024-12-02 | Yes | Remediation in progress |
| Gulf Coast Total Care | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
show all 14
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Gulf Coast Total Care | unmatched | Other, specify (Documentation Audit Review) | 2024-12-02 | Yes | Remediation in progress |
| My Care Alabama Central | unmatched | Other, specify (Documentation Audit Review) | 2024-12-02 | Yes | Remediation in progress |
| My Care Alabama Central | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| My Care Alabama East | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| My Care Alabama East | unmatched | Other, specify (Documentation Audit Review) | 2024-12-06 | Yes | Remediation in progress |
| My Care Alabama Northwest | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| My Care Alabama Northwest | unmatched | Other, specify (Documentation Audit Review) | 2024-12-06 | Yes | Remediation in progress |
| North Alabama Community Care | unmatched | Other, specify (Documentation Audit Review) | 2024-06-20 | Yes | Remediation in progress |
| North Alabama Community Care | unmatched | Other, specify (Documentation Audit Review) | 2024-12-06 | Yes | Remediation in progress |
Award history
not published by state. No official award, score, or protest was retrieved for this state on 2026-11-03. Award history
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.