Alabama Section 1115 Institutions for Mental Disease Waiver for Serious Mental Illness

Alabama seeks a new section 1115 demonstration to receive federal financial participation for services provided in an Institution for Mental Disease (IMD) to Medicaid beneficiaries, when the statewide average length of stay meets an expectation of 30 days or less. Additionally, the state seeks a waiver of statewideness to reimburse IMDs for short term psychiatric stays only in Mobile, Washington, and Baldwin counties. Medicaid enrollees will be permitted to access IMD services regardless of their residence. This request is pursuant to the opportunity described in the November 13, 2018 State Medicaid Director’s Letter. The federal public comment period will be open from March 25, 2021 through April 24, 2021.

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