STATE PROFILE • Last updated: April 23, 2026
Alabama Elder Care & Medicaid
Alabama's income-cap Medicaid requires a Qualified Income Trust for excess income, with the Elderly and Disabled Waiver offering essential home and community-based support.
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RANKED #17
GRADE C
FEATURED
Medicaid Coverage Guide for Alabama
Full breakdown of Alabama Medicaid Agency for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Alabama Medicaid Agency
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
C
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
CRITICAL
MEDICAID SUPPORT
STRONG
Composite score: 51.5 / 100
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Alabama At a Glance
Nursing Home Facilities
224
Senior Medicaid Waivers
1
National Rank
#17 / 51
Senior Care Costs in Alabama
holiday_village
Assisted Living
$3,503/mo
-23.7% vs national avg
local_hospital
Nursing Home
$8,397/mo
-23.9% vs national avg
- 224 nursing homes · 26,504 beds
- Avg CMS rating 3.01★ (38 rated 5★, 38 rated 1★)
- 3.91 nurse hrs/resident/day (0.64 RN)
Source: CMS Nursing Home Compare
psychology
Memory Care
$4,378/mo
-23.7% vs national avg
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Home Health Aide
$22/hr
-18.5% vs national avg
- Median aide wage $13.03/hr
- ~21,100 aides employed statewide
Source: BLS OEWS