2026-2027 Medicaid Advisory Committee (MAC) Application Survey

The Medicaid Advisory Committee (MAC) provides an advisory role to the state on health and medical services. This includes advising on policy matters and the effective administration of Medicaid programs. The committee aims to ensure that Medicaid services are accessible, high-quality and meet the needs of Medicaid recipients.

Committee member responsibilities:

Share experiences and perspectives to help advise Medicaid on policy matters and the effective administration of Medicaid programs.
Commit to serving as an active committee member for 1-3 years.
Participate in quarterly meetings.
Suggest agenda items for future meetings.
Participate actively in discussions, listen to different perspectives, and work toward consensus advice on specific issues.

If you are interested in serving as a committee member, please complete this form and email it to BAC@medicaid.alabama.gov. Medicaid accepts applications at any time. If the committee is full, Medicaid will keep your application and review it when a spot opens. Medicaid aims to build a diverse committee, so not all applications will be accepted. Thank you for your interest!

1.What is your first name?(Required.)

2.What is your last name?(Required.)

3.What is your gender?(Required.)

Male

Female

Prefer not to answer

5.What is your county of residence?(Required.)

6.What is your occupation and title?(Required.)

7.What is your email?(Required.)

8.What is your phone number?(Required.)

9.How are you affiliated with the Alabama Medicaid program (check all that apply)?

Clinical provider or administrator

State or local advocacy group or community-based organization representative

Alabama Coordinated Health Network (ACHN) employee

Integrated Care Network (ICN) employee

Alabama state agency employee

Alabama Beneficiary Advisory Council (BAC) member

Other (please specify)

10.Describe your experience with the Alabama Medicaid program.(Required.)

11.List any previous experience serving on an Alabama board or council. Include the dates if you know them.

12.Describe why you are interested in serving on the MAC.

13.Do you require any special accommodations to participate in virtual or in-person meetings?

Yes

If yes, please provide details:

14.How long would you be willing to serve on the MAC?

One year

Two years

Three years

15.Do you have anything else you would like to add?