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Alabama Medicaid Agency
Beneficiary Advisory Council (BAC) Application

Alabama Medicaid is seeking current or past Medicaid recipients, as well as individuals with direct experience supporting Medicaid recipients (such as family members and caregivers, both paid and unpaid), to join the Beneficiary Advisory Council (BAC).

Council Member Responsibilities:
  1. Share their experiences with Alabama Medicaid to help shape Medicaid policy and services.
  2. Suggest agenda items.
  3. Commit to serving as an active council member for 1-3 years.
  4. Participate in quarterly meetings.
If you are interested in serving as a council member or would like to nominate a member, complete this form.

Medicaid aims to form a diverse committee, so not all applications may be accepted. Completed applications will be reviewed within 15 business days of submission. Thank you for your interest!
1.Nominee Name (first, last)
2.Nominee Gender
3.Nominee Race
4.Nominee County of Residence
5.Nominee Email
6.Nominated By (if not self) (Name and Contact)
7.Why would you or the nominee be a good fit for the BAC?
8.Do you or the nominee require any special accommodations to participate in virtual or in-person meetings? If so, please provide details.
9.Nominee's Medicaid Experience:
10.Do you or the nominee have any experience with these Medicaid programs or services? (select all that apply)
11.How long would you or the nominee be willing to serve on the council?
12.Are you or the nominee interested in serving as a member of the Medicaid Advisory Committee (MAC)?
MAC Overview: The purpose of the MAC is to provide guidance and recommendations to Alabama Medicaid on various aspects of the Medicaid program. While the BAC is specifically focused on Medicaid recipient experiences and feedback, the MAC has a broader advisory role and includes a wider range of stakeholders. The MAC meets quarterly and at different times from the BAC.
13.Is there anything else you would like to share with Alabama Medicaid?
Thank you for your interest in helping improve Medicaid!