Alabama Plan First

State:	Alabama
Waiver Authority:	1115
Status:	Approved

Waiver Dates

Approval:	07/01/2000
Effective:	10/01/2000
Expiration:	09/30/2030

Supporting Documents

Approved Application(s) and Related Documents

Date	Title
06/25/2025	Monitoring Redesign Overlay Letter (PDF, 1.56 MB)
06/10/2025	Demonstration Approval – Technical Corrections (PDF, 682.5 KB)

Administrative Record

Date	Title
05/30/2025	State Acceptance Letter (PDF, 130.85 KB)
04/30/2025	Demonstration Approval (PDF, 601.25 KB)
02/26/2025	Annual Monitoring Report October 2023 – September 2024 (PDF, 1013.3 KB)
09/04/2024	CMS Temporary Extension Approval (PDF, 277.28 KB)
07/11/2024	Annual Monitoring Report October 2022 – September 2023 (PDF, 1.66 MB)
09/06/2023	CMS Approved Interim Evaluation Report (PDF, 1.26 MB)
06/15/2023	CMS Temporary Extension Approval (PDF, 315.39 KB)
12/29/2022	Annual Report October 2021 – September 2022 (PDF, 891.5 KB)
09/27/2022	CMS Temporary Extension Approval (PDF, 310.8 KB)
04/06/2022	Annual Monitoring Report October 2020 - September 2021 (PDF, 891.05 KB)
12/09/2021	CMS Extension Completeness Letter (PDF, 216.99 KB)
11/30/2021	Demonstration Extension Application (PDF, 7.97 MB)	View Comments
06/01/2021	Annual Report October 2019 - September 2020 (PDF, 442.78 KB)
02/19/2021	Budget Neutrality Workbook October 2020 - September 2021 (XLSM, 443.7 KB)
02/12/2021	CMS Letter to State (PDF, 156.55 KB)
01/12/2021	Letter from State - Rescinded (PDF, 9.56 MB)
09/10/2020	Budget Neutrality Workbook October 2019 - September 2020 (XLSM, 442.87 KB)
12/29/2019	Annual Report October 2018-September 2019 (PDF, 451.61 KB)
12/29/2019	Budget Neutrality Workbook October 2018-September 2019 (XLSM, 430.91 KB)
12/28/2018	Alabama Plan First Annual Report October 2017 September 2018 (PDF, 323.62 KB)
09/13/2018	Final Evaluation Design (PDF, 1012 KB)
07/30/2018	CMS Approval Letter - Evaluation Design (PDF, 110.05 KB)
06/18/2018	Draft Evaluation Design (PDF, 484.47 KB)
04/17/2018	Alabama Plan First Evaluation 2017 (PDF, 1.74 MB)
04/17/2018	Annual Report 2017 (PDF, 637.12 KB)
04/04/2018	Alabama Plan First Evaluation 2016 (PDF, 1.33 MB)
11/27/2017	Demonstration Approval (PDF, 2.53 MB)
11/17/2017	Quarterly Report July-September 2017 (PDF, 429.52 KB)
09/08/2017	State Acceptance Letter – Care Coordination Amendment (9/8/2017) (PDF, 91 KB)
08/24/2017	Quarterly Report April-June 2017 (8/24/2017) (PDF, 451.5 KB)
06/28/2017	CMS Amendment Approval (6/28/2017) (PDF, 449.99 KB)
06/16/2017	CMS Extension Completeness Letter (PDF, 1.02 MB)
06/15/2017	Alabama 2017 Extension Application (6/15/2017) (PDF, 12.01 MB)	View Comments
05/30/2017	Quarterly Report January-March 2017 (5/30/2017) (PDF, 654.67 KB)
03/30/2017	Annual Report 2016 (PDF, 681.06 KB)
02/27/2017	Quarterly Report October-December 2016 (2/27/2017) (PDF, 142.28 KB)
11/29/2016	Complete Application Approval Letter (11/29/2016) (PDF, 106.12 KB)
11/28/2016	Care Coordination Amendment Application (PDF, 3.01 MB)	View Comments
10/01/2016	Quarterly Report July – September 2016 (October 2016) (PDF, 427.35 KB)
07/21/2016	Quarterly Report April–June 2016 (07/21/16) (PDF, 1.17 MB)
06/01/2016	Quarterly Report January – March 2016 (June 2016) (PDF, 451.47 KB)
05/10/2016	2015 Annual Demonstration Report (05/10/2016) (PDF, 967.82 KB)
11/30/2015	Quarterly Report July-September 2015 (11/30/2015) (PDF, 146.21 KB)
08/28/2015	Quarterly Report April-June 2015 (08/28/2015) (PDF, 133.18 KB)
05/29/2015	Quarterly Report January-March 2015 (05/29/2015) (PDF, 132.18 KB)
02/27/2015	Quarterly Report October-December 2014 (02/27/2015) (PDF, 129.33 KB)
12/29/2014	CMS Approval - 2014 Extension (PDF, 451.97 KB)
11/15/2014	Quarterly Report July-September 2014 (11/15/2014) (PDF, 222.68 KB)
10/29/2014	Pending Application (10/29/2014) (PDF, 2.3 MB)	View Comments
10/09/2014	Complete Application Approval Letter (10/09/14) (PDF, 100.15 KB)
08/29/2014	Quarterly Report April-June 2014 (8/29/2014) (PDF, 222.18 KB)
07/29/2014	Annual Report April 2013-April 2014 (7/29/2014) (PDF, 473.63 KB)
05/29/2014	Quarterly Report January-March 2014 (05/29/2014) (PDF, 171.75 KB)
02/28/2014	Quarterly Report October-December 2013 (2/28/2014) (PDF, 166.55 KB)
11/29/2013	Quarterly Report July-September 2013 (11/29/2013) (PDF, 163.7 KB)
08/28/2013	Quarterly Report April-June 2013 (8/28/2013) (PDF, 156.78 KB)
06/27/2013	Temporary Extension Letter (06/27/2013) (PDF, 92.63 KB)
05/31/2013	Quarterly Report January-March 2013 (05/31/2013) (PDF, 172.06 KB)
02/27/2013	Quarterly Report October-December 2012 (2/27/2013) (PDF, 189.48 KB)
11/30/2012	Quarterly Report July-September 2012 (11/30/2012) (PDF, 170.14 KB)
08/30/2012	Quarterly Report April-June 2012 (08/30/2012) (PDF, 159.14 KB)
04/12/2012	Temporary Extension Letter (04/12/2012) (PDF, 51.51 KB)

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