Alabama Medicaid DME and POP Provider Enrollment Requirements
Act
by Oct 1, 2026
Effective date
Oct 1, 2026
Identified
Sep 3, 2026
Summary
Effective October 1, 2026, Alabama Medicaid is eliminating the state licensing requirement for DME and POP providers previously issued by the Alabama State Board of Prosthetists and Orthotists (which ceases operations September 30, 2026). All DME and POP providers must now be enrolled with Medicare and maintain Medicare accreditation and certification as the condition for Medicaid enrollment and revalidation. Providers will be assigned specialties based on their Medicare PECOS enrollment.
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01Billing team and DME/POP providers must verify all Alabama Medicaid-enrolled providers have active Medicare enrollment with current accreditation and certification.
02Update provider credentialing files to reflect Medicare PECOS specialty assignments.
03Remove dependency on Alabama State Board of Prosthetists and Orthotists licenses from enrollment verification processes.
04Providers currently holding only Alabama State Board licenses (hired between July 1, 2026 and October 1, 2026) must contact Alabama Medicaid DME Program at (334) 242-5050 to complete Medicare enrollment before the October 1, 2026 deadline.
05Failure to maintain Medicare accreditation and certification will result in Medicaid enrollment termination.
06Update billing system credentialing and revalidation workflows to require Medicare accreditation verification instead of state board licensing by September 30, 2026.
Original notice
Alabama Medicaid DME and POP Provider Enrollment Requirements
medicaid.alabama.gov · Always check the source before changing claims.
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