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Alabama Medicaid eligibility and caretaker-relative regulations

Alabama Administrative Code Chapter 560-X-25 sets Medicaid eligibility rules, including applications and representatives, redeterminations, categorical criteria, institutional and HCBS-waiver income rules, and Parents and Other Caretaker Relatives coverage.

Alabama · Effective · Implementation Jul 4, 2026

What it is

What changed
Alabama Administrative Code Chapter 560-X-25 is the Medicaid Eligibility chapter. Rule 560-X-25-.04 defines application, representative authority, eligibility determination, redetermination at least every 12 months, and denial or termination when needed information is not provided. Rule 560-X-25-.05 covers general categorical criteria. Rule 560-X-25-.10 covers income criteria for institutional Medicaid and certain HCBS waiver programs. Rule 560-X-25-.15 defines Parents and Other Caretaker Relatives coverage, relationship and technical requirements, and transitional medical assistance rules.
Why it matters
This is the official regulatory layer behind Alabama Medicaid application, renewal, caretaker-relative coverage, institutional care, and HCBS-waiver screening. Caregivers can use it to understand the authority beneath guidance pages while still routing final eligibility questions to Alabama Medicaid.
Who it touches
Family caregivers, People receiving careMedicaid applicants, Medicaid recipients, parents and caretaker relatives, family caregivers, HCBS waiver recipients

Sources