Alabama

Alabama currently has five waivers that are open to children. This includes a new Community Care Waiver for people with intellectual disabilities in certain counties. All programs are HCBS 1915(c) Medicaid waivers, though one is concurrent with an 1115 demonstration program. Three of these programs waive parental income; we do not know the status of the others. View Alabama's HCBS waiver page and see this chart for a comparison of programs.

Alabama also has several adult-only waivers, including SAIL and Technology Assisted Waiver.

Advocacy organizations in Alabama:

Last updated 12/9/21

Programs in Alabama

COMMUNITY WAIVER PROGRAM
  • Target Population: Children and adults with intellectual disabilities in certain counties.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown
  • Waiver Type: 1915(c) and 1115
  • Spots: 1550
  • Expiration Date: 10/20/2026
  • Description from medicaid.gov: Provides breaks and opportunities (respite), community-based residential services, integrated employment, path services, personal assistance – home, support coordination, adult family home, assistive technology and adaptive aids, co-worker supports, community integration connections and skills training, community transportation, family empowerment and systems navigation counseling, financial literacy and work incentives benefits counseling, housing counseling services, housing start-up assistance, independent living skills training, individual directed goods and services, minor home modifications, natural support or caregiver education and training, occupational therapy, peer specialist services, personal assistance-community, physical therapy, positive behavior supports, remote supports, skilled nursing, speech and language therapy, supported employment individual, supported employment small group, and supported living services for individuals with intellectual disabilities ages 3 - no max age.
  • Online State Information: Community Waiver Program or this information from the Department of Mental Health.
  • Official Federal Information: 1915(c) and 1115
  • How to Apply: Contact the Intellectual Disabilities Call Center of the Alabama Department of Mental Health at 1-800-361-4491.
  • Waiting List: There are 2500 people with intellectual disabilities on Alabama's waiting list.
HOME AND COMMUNITY BASED WAIVER FOR PERSONS WITH INTELLECTUAL DISABILITIES

Also called Intellectual Disabilities Waiver, HCBS Waiver for Persons with MR

  • Target Population: Children and adults with intellectual disabilities.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 5260
  • Expiration Date: 9/30/2025
  • Description from medicaid.gov: Provides day habilitation, employment support, personal care, prevocational services, residential habilitation, respite, adult companion services, assistive technology services, benefits and career counseling, community experience, community specialist, crisis intervention, environmental accessibility adaptations, housing stabilization service, individual directed goods and services, occupational therapy, personal emergency response system, physical therapy, positive behavior support, skilled nursing, specialized medical supplies, speech and language therapy, supported employment transportation, supported living service for individuals with ID, ages 3 - no max age.
  • Online State Information: Intellectual Disabilities Waiver
  • Official Federal Information
  • How to Apply: Contact the Intellectual Disabilities Call Center of the Alabama Department of Mental Health at 1-800-361-4491.
  • Waiting List: There are 2500 people with intellectual disabilities on Alabama's waiting list.
HCBS LIVING AT HOME WAIVER FOR PERSONS WITH ID

Also called Living at Home Waiver

  • Target Population: Children and adults with intellectual disabilities.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown
  • Waiver Type: 1915(c)
  • Spots: 644
  • Expiration Date: 9/30/2025
  • Description from medicaid.gov: Provides day habilitation, employment support, personal care, prevocational services, respite, adult companion services, assistance in community integration, assistive technology services, benefits and career counseling, community experience, crisis intervention, environmental accessibility adaptations, housing stabilization service, individual directed goods and services, occupational therapy, personal emergency response system, physical therapy, positive behavior support, remote supports, skilled nursing, specialized medical supplies, speech and language therapy, and supported employment transportation for individuals with intellectual disabilities ages 3 to no max age.
  • Online State Information: Living at Home Waiver
  • Official Federal Information
  • How to Apply: Contact the Intellectual Disabilities Call Center of the Alabama Department of Mental Health at 1-800-361-4491.
  • Waiting List: There are 2500 people with intellectual disabilities on Alabama's waiting list.
ACT

Also called Alabama Community Transition

  • Target Population: Children and adults currently living in nursing homes who wish to live in the community. Children and adults must have a physical or other health-related disability.
  • Ages: all ages
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child's income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 675
  • Expiration Date: 3/31/2026
  • Description from medicaid.gov: Provides adult day health, case management, homemaker, personal care, respite (skilled and unskilled), adult companion service, assistive technology, home delivered meals, home modifications, medical supplies, personal assistant service, personal emergency response systems-installation/monthly fee, skilled nursing, transitional assistance services for aged individuals, 65 to no max age, and disabled individuals (physical and other), 0 to no max age.
  • Online State Information: Act Waiver
  • Official Federal Information
  • How to Apply: Contact an Aging and Disability Resource Center. Call 877-425-2243 or find your local center here.
  • Waiting List: There are 213 people with physical disabilities and 5080 people who are aged/disabled on the waiting list.
HOME AND COMMUNITY-BASED WAIVER FOR THE ELDERLY AND DISABLED

Also called Elderly and Disabled Waiver

  • Target Population: Children and adults with physical or other health-related disabilities.
  • Ages: all ages
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child's income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 9355
  • Expiration Date: 9/30/2022
  • Description from medicaid.gov: Provides adult day health, case management, homemaker, personal care, skilled respite, companion service, home delivered meals, and unskilled respite for aged individuals 65+, and individuals with physical or other disabilities of all ages.
  • Online State Information: Elderly and Disabled Waiver
  • Official Federal Information
  • How to Apply: Contact an Aging and Disability Resource Center. Call 877-425-2243 or find your local center here.
  • Waiting List: There are 213 people with physical disabilities and 5080 people who are aged/disabled on the waiting list.