Postpartum Health Coverage & Maternity Support for Single Mothers in Alabama

Last updated: September 2025

Alabama now guarantees 12 months of postpartum Medicaid, offers no‑cost WIC food and breastfeeding help, and runs a network of crisis and community clinics you can use even without insurance—start with the online Medicaid application at Insure Alabama, call the Alabama Medicaid Recipient Call Center at 1-800-362-1504, and find a nearby low‑cost clinic through Alabama Primary Health Care Association’s Find a Health Center tool for same‑week care while your case is pending. (medicaid.alabama.gov)

If money is tight right now, you can still get immediate food and infant‑feeding help by enrolling with Alabama WIC, applying for SNAP on MyDHR, and calling 988 (Alabama Department of Mental Health) if postpartum depression or anxiety feels heavy—these services are free, confidential, and designed to move quickly for new parents. (alabamapublichealth.gov)

Hospitals can start “presumptive eligibility” Medicaid coverage while your application is processed, and utilities must follow Alabama Public Service Commission shutoff rules—ask the hospital for Hospital Presumptive Eligibility paperwork, and call the PSC consumer line if you get a power cut‑off notice; combine that with LIHEAP through ADECA for fast energy help. (medicaid.alabama.gov)

If You Only Do 3 Things – Emergency Actions to Take:

• Apply for postpartum coverage today: File at Insure Alabama, ask the hospital for Presumptive Eligibility, and call the Medicaid Recipient Call Center at 1-800-362-1504 for application help. (medicaid.alabama.gov)
• Secure food and infant‑feeding support now: Enroll with Alabama WIC (free breastfeeding lactation app Pacify), apply for SNAP via MyDHR, and use HRSA Health Centers for same‑day care if you can’t see your doctor. (alabamapublichealth.gov)
• Stop a utility shutoff the same day: Call your utility and cite PSC Rule 770‑X‑1‑.12 (32°F rule and notice window), request LIHEAP at your county agency via ADECA’s map, and if you’re an Alabama Power customer ask about Project SHARE. (regulations.justia.com)

Quick Help Box – Keep These 5 Contacts Handy:

• Medicaid postpartum & Plan First help: Medicaid Recipient Call Center 1-800-362-1504, Plan First 1-888-737-2083, and Hospital Presumptive Eligibility. (medicaid.alabama.gov)
• WIC breastfeeding support: Alabama WIC 1-888-942-4673 (Pacify app), ADPH Breastfeeding page, and WIC News (2025 plan). (alabamapublichealth.gov)
• Food, cash, childcare: SNAP Food Assistance (MyDHR), DHR Food Assistance (info line 1-833-822-2202), and Child Care Subsidy. (mydhr.alabama.gov)
• Energy and water help: ADECA LIHEAP, PSC consumer complaints 1-800-392-8050, and Birmingham H2O Foundation 205-244-4390. (adeca.alabama.gov)
• Mental health & safety: 988 Alabama, PSI postpartum help 1-800-944-4773, and ACADV Domestic Violence Hotline 1-800-650-6522. (mh.alabama.gov)

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How Postpartum Health Coverage Works in Alabama (What’s Covered and for How Long):

Alabama Medicaid covers you for a full 12 months after your pregnancy ends—this is a statewide policy approved by federal Medicaid in 2023 and still active now—so if you delivered recently or had a pregnancy that ended, focus first on confirming your Medicaid postpartum case and keep all doctor visits and prescriptions under that coverage. Use the online Insure Alabama application, check Alabama Medicaid’s 2023 alert about the “12‑month postpartum extension,” and note CMS’s formal approval (effective 10‑01‑2022) so you can cite it if a worker is unsure. (medicaid.alabama.gov)

If you were on ALL Babies (CHIP pregnancy coverage) instead of Medicaid, your postpartum window is two months under current ALL Babies rules—plan ahead to move into another coverage path before day 61 by checking for Medicaid eligibility, a Marketplace plan, or Plan First for birth‑control and well‑woman care. Read ALL Babies benefits, call ALL Babies/ALL Kids Customer Service at 1-888-373-5437, and ask your hospital or county health department about Hospital Presumptive Eligibility if you’re still waiting. (alabamapublichealth.gov)

Hospitals and some clinics can trigger two months of “presumptive eligibility” outpatient care while your full Medicaid application processes, which is vital if you’re still bleeding heavy, managing blood‑pressure issues, or need mental health care—ask registration staff about “HPE,” then verify your case online and follow up by phone until your full approval letter arrives. See AP coverage of the presumptive eligibility law, read Medicaid’s HPE program page, and save the Recipient Call Center number 1-800-362-1504. (apnews.com)

Postpartum Coverage at a Glance:

Use CMS approval AL‑22‑0007 for the 12‑month rule, check ALL Babies benefits for the two‑month window, review Plan First details, and enroll with Alabama WIC if your budget is tight. (medicaid.gov)

Eligibility & 2025 Income Rules (Quick View):

The state posts joint monthly thresholds for Medicaid/ALL Kids and updates them when the federal poverty guidelines change; use the latest ADPH chart, then call to confirm your exact category (pregnant adult vs. child) because some brackets differ and a 5% disregard may apply. Start with the 2025 Monthly Income Guidelines PDF, read the ALL Kids eligibility page, and call Medicaid to verify what applies to pregnant adults. (alabamapublichealth.gov)

Confirm the current chart before you apply; the PDF is labeled “Effective 2/1/2025,” and ALL Kids notes that income guidelines are updated when the federal poverty levels change, while ALL Babies follows CHIP pregnancy rules. (alabamapublichealth.gov)

How to Apply (Fastest Path):

• Apply online for Medicaid/ALL Babies using Insure Alabama, track your status through My Medicaid, and call the Recipient Call Center 1-800-362-1504 if anything glitches. (medicaid.alabama.gov)
• Ask your hospital/clinic for “HPE” (Hospital Presumptive Eligibility) to cover outpatient care for up to 60 days while the full decision is pending, and keep copies of the HPE notice you receive—Alabama trains hospitals on HPE and updated forms in 2025. Show staff the HPE program page and share the AP explainer on the new law if needed. (medicaid.alabama.gov)
• If denied for full Medicaid but you need birth control or well‑woman care, apply for Plan First (call 1-888-737-2083), and if you have employer insurance plus high medical costs, ask about HIPP premium help. (medicaid.alabama.gov)

What to do if this doesn’t work: Ask your hospital’s financial counselor to fax your HPE and application number, then file a case status request with Medicaid, escalate through your county health department, and get care in the meantime at a HRSA health center (sliding fees, no‑insurance welcome). (medicaid.alabama.gov)

Maternity & Postpartum Support You Can Use Right Away:

Get nursing support, nutrition, and home‑visiting without waiting on an insurance card—enroll with Alabama WIC (free lactation help via Pacify), sign up for Nurse‑Family Partnership if you’re a first‑time mom on Medicaid, and tap Healthy Start programs in Birmingham and Montgomery for case management and dad support. (alabamapublichealth.gov)

If you carry Blue Cross coverage through ALL Babies or work, enroll in Baby Yourself to get a nurse on the phone, a contraction counter app, and postpartum check‑ins—ask ADPH about local Breastfeeding groups and use PSI’s helpline if mood swings or anxiety are scary at night. (bcbsal.org)

If you need mental health or crisis care now, call 988 (Alabama), walk into a 24/7 Crisis Center (Birmingham, Huntsville, Montgomery, Mobile, Tuscaloosa, Dothan), or reach the National Maternal Mental Health Hotline at 1-833-943-5746 (English/Español)—keep these saved in your phone. (mh.alabama.gov)

What to do if this doesn’t work: Ask your OB or pediatrician to fax a warm referral to your area’s Crisis Center, request a telehealth visit via HRSA health centers, and call PSI back to get a local volunteer to text you clinic options. (mh.alabama.gov)

Food, Cash, Diapers, and Utilities After Birth (Realistic Steps):

Apply for SNAP online through MyDHR, keep your interview within 7–30 days per DHR processing rules, and set up the official ConnectEBT app (ignore scam calls asking for your PIN). (mydhr.alabama.gov)

For utility bills, ask your Community Action Agency for LIHEAP, cite PSC disconnect protections if a shutoff is scheduled, and if you use Alabama Power ask about Project SHARE or ABC Trust emergency aid (seniors/disabled often qualify; extra funds were added after winter storms in Jan 2025). (adeca.alabama.gov)

In Birmingham‑area water emergencies, contact the H2O Foundation for bill help and plumbing repair support, use BWWB’s customer help for payment arrangements, and pair that with LIHEAP cooling season if it’s summer. (bwwb.org)

What to do if this doesn’t work: Call the PSC consumer line at the number on this LIHEAP Clearinghouse page to log a shutoff complaint, request an urgent appointment via the ADECA LIHEAP map, and if you’re an Alabama Power customer ask your Salvation Army office about Project SHARE. (liheapch.acf.hhs.gov)

Know Your Rights at Work After Birth (Short Version):

The federal Pregnant Workers Fairness Act (PWFA) requires most employers (15+ employees) to provide reasonable accommodations like extra water/rest breaks, temporary light duty, or time off to recover—see the EEOC PWFA rule and note some abortion‑specific portions are under litigation, but core postpartum protections remain. Use the EEOC final regulation and save news updates about court rulings for context if HR pushes back. (eeoc.gov)

You may also take unpaid, job‑protected leave if you qualify under the Family and Medical Leave Act (FMLA), and Alabama WIC affirms your right to breastfeed with clinic‑based support and pumps when eligible—pair FMLA with Plan First or your HRSA health center if you need ongoing care after job leave. (dol.gov)

What to do if this doesn’t work: Document every request and response, file a workplace charge with the EEOC, contact ADPH WIC for a lactation letter, and use a health center to keep care going while legal issues play out. (eeoc.gov)

How to Stop Utility Shutoff in Alabama Today:

Ask for a medical‑need hold, cite the PSC temperature rule (no disconnect when the day’s forecast is 32°F or below), and request a 5‑day written notice before cut‑off—this is spelled out in PSC Rule 770‑X‑1‑.12, and you can call the PSC consumer line listed here for backup. Apply the same day for LIHEAP through ADECA and ask your Community Action agency for an emergency slot. (regulations.justia.com)

Birmingham Water Bill Help:

Use the H2O Foundation (one‑time water/sewer help and minor plumbing repairs), call BWWB Customer Support to set a payment plan, and if you’re facing multiple bills at once, pair this with LIHEAP cooling or heating assistance to free up cash for water. (bwwb.org)

Local Organizations, Charities, Churches, and Support Groups:

In Birmingham/Jefferson County, connect with One Roof (CoC) for homeless‑prevention referrals, call the JBS Crisis Care Center at 1-205-263-1701 for 24/7 mental‑health stabilization, and use BWWB’s H2O for water help if bills piled up during maternity leave. (oneroofonline.org)

In Huntsville/Madison County, go through North Alabama Coalition for the Homeless (walk‑in at Downtown Rescue Mission), use WellStone Emergency Services at 1-256-705-6444 for crisis care, and apply for LIHEAP appointments via CAA Huntsville/Madison’s call center. (nachcares.org)

In Montgomery/River Region, contact Mid‑Alabama Coalition for the Homeless at 1-334-261-6182, enroll with Gift of Life Healthy Start/NFP for nurse home visiting, and call Carastar Crisis Center 1-800-408-4197 if you need urgent mental‑health support. (hud.gov)

In Mobile/Baldwin, reach Housing First, Inc. for housing diversion, call AltaPointe Crisis Center 1-251-662-8000, and book LIHEAP through Mobile Community Action at 1-251-206-6117. (hud.gov)

Across the Black Belt, use CSP of West Alabama (Tuscaloosa/Greene/Hale, etc.) for LIHEAP, call Indian Rivers Hope Pointe Crisis Care 1-205-391-4000, and ask ADPH WIC to connect you to local Baby Cafés for breastfeeding help. (adeca.alabama.gov)

Statewide, use the ACADV hotline 1-800-650-6522 to reach safe shelters, ask HRSA health centers about sliding‑fee OB/GYN appointments, and contact the Attorney General’s Victim Assistance line at 1-800-626-7676 if you’re dealing with threats or stalking. (acadv.org)

What to do if this doesn’t work: Call 2‑1‑1 for more referrals, check HUD’s Alabama list of homeless service organizations, and ask PSI for a local volunteer to help you call agencies. (hud.gov)

Resources by Region (Cheat Table):

Double‑check appointment lines and counties covered on ADECA’s LIHEAP map, confirm crisis center numbers at ADMH, and use HUD’s Alabama list for county‑level contacts. (adeca.alabama.gov)

Common Mistakes to Avoid:

• Waiting to apply until after the six‑week visit: Apply as soon as you deliver or if a pregnancy ends; the 12‑month postpartum clock starts at the end of the pregnancy, and HPE can bridge you—use Insure Alabama, ask about HPE, and keep CMS approval AL‑22‑0007 handy. (medicaid.alabama.gov)
• Assuming ALL Babies gives 12 months postpartum: ALL Babies still lists two months postpartum—plan for Medicaid, Marketplace, or Plan First after day 61; read ALL Babies benefits and apply early. (alabamapublichealth.gov)
• Ignoring SNAP/EBT security: Only use the ConnectEBT app, never share your PIN, and report theft fast using DHR’s EBT fraud page and your county DHR office. (dhr.alabama.gov)
• Letting utilities disconnect before you act: Use the PSC 32°F rule & 5‑day notice, call ADECA LIHEAP, and ask Alabama Power Project SHARE about emergency funds. (regulations.justia.com)

Reality Check:

Backlogs happen, and not every county has the same clinic capacity—presumptive eligibility (HPE) exists because processing can take weeks, so ask for it and keep appointments at HRSA health centers while you wait, and confirm your postpartum case is flagged correctly under the 12‑month rule in their system. If a worker seems unsure, point to the Medicaid SPA approval AL‑22‑0007 and Alabama Medicaid’s 2023 alert extending coverage from 60 days to 12 months. (hrsa.gov)

Quick Reference Cheat Sheet:

Application Checklist (Printable / Screenshot‑Friendly):

• Proof of identity: Driver’s license or state ID; if none, bring birth certificate; see Medicaid apply page for acceptable docs. (medicaid.alabama.gov)
• Proof of Alabama residency: Lease, utility bill, or mail; WIC and Medicaid both require this—see WIC requirements and Medicaid info. (alabamapublichealth.gov)
• Proof of pregnancy or birth: Hospital record or doctor’s note; present at your first postpartum visit—pair with HPE if you need same‑day coverage. (medicaid.alabama.gov)
• Proof of income: Last 30 days of pay stubs for all household earners; check 2025 income chart as a guide. (alabamapublichealth.gov)
• Newborn’s documents (if applying for baby): Hospital birth record and Social Security application receipts; add baby to WIC via ADPH WIC. (alabamapublichealth.gov)

If Your Application Gets Denied (Troubleshooting):

First, request the denial letter and check the reason codes, then call the Medicaid Recipient Call Center to clarify missing documents and ask if the postpartum 12‑month rule was applied—mention AL‑22‑0007 if needed. Also ask your hospital to fax HPE documents from the HPE program. (medicaid.alabama.gov)

Second, apply for Plan First (fast coverage for birth control and well‑woman care) and get stopgap care at HRSA health centers while your appeal is pending. File SNAP and WIC so food money is not the blocker—apply via MyDHR SNAP and ADPH WIC. (medicaid.alabama.gov)

Finally, if income is the issue, review the 2025 income chart and consider whether you qualify under a different household size counting rule; if not, ask for Marketplace special enrollment with local assistance through your HRSA health center navigator team. (alabamapublichealth.gov)

County‑Specific Variations You Should Know:

Jefferson County has BWWB H2O for water help and JBS Crisis Care Center for 24/7 mental‑health care, while Madison County residents use NACH for housing triage and WellStone for crisis walk‑ins. Check your county’s LIHEAP agency using ADECA’s LIHEAP map to find the correct appointment number. (bwwb.org)

Mobile and Baldwin Counties rely on Housing First, Inc. for homeless‑prevention and AltaPointe Crisis Center for stabilization; Montgomery/Autauga/Elmore check MACH and Carastar, and the Black Belt often routes utility help through CSP of West AL. (hud.gov)

Diverse Communities (Tailored Pointers)

LGBTQ+ single mothers: Use PSI’s Queer & Trans Parents help for peer groups, ask WIC for inclusive lactation support with interpreters if needed, and know that the EEOC PWFA rule protects lactation and many pregnancy‑related limitations at work. (postpartum.net)

Single mothers with disabilities or disabled children: Combine Medicaid postpartum with HRSA health centers for accessible care rooms, and request free language/ADA aids through ADPH’s Free Communication Assistance if you need large‑print materials or a sign‑language interpreter. (medicaid.gov)

Veteran single mothers: Use the VA Women Veterans Program for maternity care coordination, then pair with WIC and Plan First if you need contraception post‑discharge; local HRSA health centers can bridge if VA appointments book out. (alabamapublichealth.gov)

Immigrant/refugee single moms: Many services offer interpreter lines—ask ADPH/WIC for language help, get care at HRSA health centers regardless of status, and contact PSI for Spanish support by text at 971‑203‑7773. (alabamapublichealth.gov)

Tribal‑specific resources: The StrongHearts Native Helpline supports Indigenous survivors 1-844-762-8483, HRSA Healthy Start funds maternal programs serving Native families in various regions, and HRSA health centers include Tribal clinics for primary care. (justice.gov)

Rural single moms with limited access: Ask for telehealth at HRSA health centers, use home‑visiting via Nurse‑Family Partnership if eligible, and lean on ADECA LIHEAP to free cash for gas to appointments. (hrsa.gov)

Single fathers: Fathers can qualify for WIC for infants/children, apply for child care using DHR’s subsidy program, and men 21+ may be eligible for vasectomy coverage under Plan First. (alabamapublichealth.gov)

Language access: Ask every agency for free interpreter services—ADPH WIC lists languages and large‑print availability, DHR posts Free Communication Assistance, and 988 Alabama can connect you to help in Spanish and other languages. (alabamapublichealth.gov)

What to do if this doesn’t work: Request “free communication assistance” in writing, switch to a HRSA health center that offers interpreter services, and ask PSI to match you to a volunteer who speaks your language. (hrsa.gov)

Child Care and Going Back to Work (Costs & Subsidies):

The Child Care Subsidy Program can cut weekly daycare costs if your income fits the 2025 scale; check the Jan 2025 fact sheet for fees by income band, use the Subsidy overview to find your regional agency, and call the intake line at 1-866-528-1694 to ask about waitlists. (dhr.alabama.gov)

Alabama also created new child‑care tax credits for providers in 2025 which may expand slots in rural areas—watch AL Dept. of Revenue’s childcare credit page, still confirm actual openings at your center, and pair subsidies with HRSA health centers for your child’s screenings and immunizations. (revenue.alabama.gov)

What to do if this doesn’t work: Ask about Early Head Start/Head Start at Family Guidance Center locations, keep applying through multiple centers, and request a work‑schedule note under the PWFA for pumping breaks or reduced lifting. (familyguidancecenter.org)

Child Support, Custody, and Safety Planning:

Start or modify child support through the DHR Child Support Division (state office 1-334-242-9300), set up payments via the Alabama Central Disbursement Division, and keep address changes updated with your county DHR office. (dhr.alabama.gov)

If abuse is present, call the ACADV hotline 1-800-650-6522, ask about shelter and legal advocacy, and use OVW’s resource page for national hotlines (including StrongHearts Native Helpline). Pair this with 988 Alabama if you’re in crisis. (acadv.org)

What to do if this doesn’t work: Call the Attorney General’s Victim Assistance line at 1-800-626-7676, ask ACADV for another shelter option, and tell your Medicaid care coordinator to help you move appointments safely. (alabamaag.gov)

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Tables You Can Screenshot

Postpartum To‑Do Timeline

Energy/Water Emergency Steps

Breastfeeding & Postpartum Mental Health

Child Care Costs (2025 Snapshot)

Who to Call (Postpartum Cheat Numbers)

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FAQs (Alabama‑Specific, 2025)

• How long does postpartum Medicaid last in Alabama: Alabama covers a full 12 months after the end of pregnancy (approved by CMS 01‑13‑2023; effective 10‑01‑2022), and hospitals can give temporary “HPE” coverage while your case is pending—apply at Insure Alabama and keep your approval letter. (medicaid.gov)
• I was on ALL Babies (CHIP), not Medicaid—do I still get 12 months: No—ALL Babies lists two months postpartum plus family planning; plan to switch to Medicaid if you qualify, a Marketplace plan, or Plan First for contraception. Review ALL Babies benefits and call 1-888-373-5437 for details. (alabamapublichealth.gov)
• How fast can I get food benefits: SNAP decisions are made in 7 days (expedited) to 30 days (regular) under DHR rules after you submit, and WIC can often enroll you the same week through your county health department. Apply via MyDHR. (dhr.alabama.gov)
• Can I get help with formula and breastfeeding at night: Yes—WIC offers free lactation support via the Pacify app and local clinics; see Alabama WIC and ADPH breastfeeding page, and call the Maternal Mental Health Hotline if stress feels like too much. (alabamapublichealth.gov)
• My power is about to be disconnected—what can I do today: Ask for a medical/infant hold and payment plan under PSC Rule 770‑X‑1‑.12, apply for LIHEAP, and if you’re an Alabama Power customer ask about Project SHARE. (regulations.justia.com)
• Where can I go if I’m spiraling mentally: Call 988, text PSI at 1-800-944-4773 for postpartum‑specific support, and, if needed, walk into a regional Crisis Center (Birmingham, Huntsville, Montgomery, Mobile, Tuscaloosa, Dothan). (mh.alabama.gov)
• Do I have to tell my boss I’m pumping or struggling postpartum: You don’t have to share medical details, but you can request reasonable accommodations (like pumping time and a private space) under the PWFA; FMLA may apply for job‑protected leave—read the DOL FMLA fact sheet. (eeoc.gov)
• Where can I find an affordable clinic near me: Use Alabama Primary Health Care Association’s finder or HRSA’s health center locator; clinics offer sliding‑fee OB/GYN and pediatrics and will see you without insurance. (alphca.com)
• Is there special help for first‑time moms: Yes—Nurse‑Family Partnership serves eligible first‑time moms on Medicaid, and Gift of Life expanded nurse‑home visiting in 2024 to more counties around Montgomery. (medicaid.alabama.gov)
• How do I protect my SNAP benefits from scammers: Only use the ConnectEBT app, never give out your PIN, and report thefts quickly using DHR’s EBT fraud page and your county DHR office contacts. (dhr.alabama.gov)
• Is there help for domestic violence when I’m pregnant or postpartum: Yes—call ACADV 1-800-650-6522 for shelter and legal resources, and use OVW national resources for specialized hotlines, including for Native survivors. (acadv.org)

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Spanish Summary / Resumen en Español

Esta guía ofrece pasos rápidos para obtener cobertura médica posparto de 12 meses con Medicaid de Alabama, apoyo de lactancia y alimentos a través de WIC de Alabama, y ayuda para facturas de energía con LIHEAP (ADECA). Para salud mental, marque 988 o la Línea Nacional de Salud Mental Materna 1‑833‑943‑5746; para violencia doméstica, llame a ACADV 1‑800‑650‑6522. Para SNAP y cuidado infantil, solicite en MyDHR y el Programa de Subsidio de Cuidado Infantil. Esta traducción fue producida con herramientas de IA; confirme detalles con las fuentes oficiales. (medicaid.alabama.gov)

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About This Guide

Compiled by the ASingleMother.org Editorial Team.

This guide uses official sources including:

• Alabama Medicaid (recipient help, HPE, Plan First, NFP, postpartum extension alert)
• Alabama Department of Public Health: WIC, ALL Babies, ALL Kids, breastfeeding
• Centers for Medicare & Medicaid Services (CMS) SPA AL‑22‑0007 approval for 12‑month postpartum coverage
• Alabama Department of Human Resources: SNAP, Child Care Subsidy, EBT fraud, contacts
• ADECA: LIHEAP agency map and contacts
• Alabama Public Service Commission: disconnect protections (Rule 770‑X‑1‑.12) via Justia’s codified posting
• Alabama Department of Mental Health: 988 and Crisis Centers
• EEOC PWFA and U.S. DOL FMLA fact sheets
• HRSA Find a Health Center and Healthy Start grants

Last verified September 2025, next review April January 2026.

Please note that despite our careful verification process, errors may still occur – email info@asinglemother.org with corrections and we respond within 72 hours.

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Disclaimer

This guide is informational, not legal or medical advice. Program rules change and local availability varies by county and funding. Always confirm current eligibility, benefit levels, and wait times with the official agency linked in each section—call to confirm current availability before applying. (alabamapublichealth.gov)

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🏛️More Alabama Resources for Single Mothers

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