How to become a Medicaid provider in Alabama
To bill Alabama Medicaid, enroll through Alabama Medicaid Electronic Provider Enrollment Application Portal (AMMIS), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Enrollment portal
- Alabama Medicaid Electronic Provider Enrollment Application Portal (AMMIS)
- Steps
- 5
- Documents
- 8
- Plans listed
- 7
On this page
Alabama Medicaid enrollment at a glance
To bill Alabama Medicaid, enroll through Alabama Medicaid Electronic Provider Enrollment Application Portal (AMMIS), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Program
- Alabama Medicaid
- Fiscal agent
- Gainwell Technologies (runs the Provider Enrollment Unit for the Alabama Medicaid Agency)
- Application fee
- Alabama collects the fee from new and re-enrolling institutional provider types on its fee list (e.g., ASCs, community mental health centers, DMEPOS suppliers, ESRD clinics, FQHCs), paid by certified or cashier's check to the Alabama Medicaid Agency; the agency's participation requirements document carries the current amount. Hardship exceptions can be requested through the fiscal agent. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- Alabama says skilled nursing facilities were moved to the high/moderate risk tier at CMS's direction, and high-risk enrollment triggers a fingerprint-based criminal background check. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Alabama states SNFs get a site visit at initial enrollment and at each 5-year revalidation. Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Alabama notifies providers when they are due and posts monthly lists of providers due for revalidation; a file closed for missing revalidation requires a brand-new application. Revalidations can be uploaded through the secure web portal. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Confirm the provider type and whether an application fee applies (institutional types)
- Complete the application in the Electronic Provider Enrollment Application Portal
- Submit the provider agreement and the individual or facility/group disclosure form, plus the fee if required
- Complete fingerprinting and a site visit if the provider type is moderate/high risk
- Primary care physicians joining the ACHN program also sign agreements with both Medicaid and their regional ACHN
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Alabama does not run full-risk Medicaid MCOs; most beneficiaries are in the Alabama Coordinated Health Network (ACHN), a care-coordination program run by seven regional entities. Providers enroll once with Alabama Medicaid (Gainwell); primary care physicians who want ACHN participation and bonus rates sign agreements with both Medicaid and the regional ACHN. There is no separate MCO credentialing process to centralize. Centralized credentialing: not applicable (no MCO networks).
- Plans (state list)
- My Care Alabama Central
- My Care Alabama East
- Alabama Care Network Mid-State
- North Alabama Community Care
- My Care Alabama Northwest
- Alabama Care Network Southeast
- Gulf Coast Total Care
Frequently asked questions
How do I become a Medicaid provider in Alabama?
To bill Alabama Medicaid, enroll through Alabama Medicaid Electronic Provider Enrollment Application Portal (AMMIS), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Alabama Medicaid?
Alabama collects the fee from new and re-enrolling institutional provider types on its fee list (e.g., ASCs, community mental health centers, DMEPOS suppliers, ESRD clinics, FQHCs), paid by certified or cashier's check to the Alabama Medicaid Agency; the agency's participation requirements document carries the current amount. Hardship exceptions can be requested through the fiscal agent. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Alabama Medicaid providers revalidate?
Alabama notifies providers when they are due and posts monthly lists of providers due for revalidation; a file closed for missing revalidation requires a brand-new application. Revalidations can be uploaded through the secure web portal. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.