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Applications and Forms

To apply for Medicaid benefits in Alabama, you must fill out the correct form(s) and return them to Medicaid in person, by mail, or online. A list of most frequently used applications and forms is below. If you want to apply for SSI/Medicaid due to disability you may apply at your local Social Security Administration office. If you cannot find the information you need, contact 1-800-362-1504. 

Please note that the Alabama Medicaid Agency does not accept faxed applications.

Applications for temporary Medicaid coverage for hurricane evacuees are no longer being accepted. 

If you want to apply for Social Security disability or SSI (Social Security Income), you will need to contact the Social Security office that serves your area. To find the office that serves your area, click here.
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