Alabama Medicaid Agency · October 24, 2026 · Primary source
Medicaid SMI 1115 Demonstration Waiver Annual Public Forum 2026
Summary
Alabama Medicaid Agency is holding annual public forums on November 30 and December 1, 2026, to accept input on its Section 1115 Institutions for Mental Disease (IMD) Waiver for Serious Mental Illness, originally approved May 20, 2022. Written comments are accepted November 14 through December 14, 2026. The demonstration authorizes Medicaid payment for short-term inpatient and residential treatment in IMD settings in Baldwin and Mobile counties for beneficiaries with SMI, with goals including reduced ED utilization and improved crisis stabilization services statewide.
What this may mean
The waiver enables Alabama Medicaid to pay IMD-qualifying facilities for short-term SMI treatment that would otherwise be excluded from federal Medicaid funding under the IMD payment exclusion. BH and SUD treatment facilities operating as IMDs in Baldwin and Mobile counties are directly affected by the demonstration's scope and authorization conditions. The public comment period closes December 14, 2026, providing a formal window for providers and advocates to shape waiver administration.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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