What Programs Are Available To Assist People With Disabilities in Alabama?

Is there a Medicaid waiver program in Alabama? Alabama has several waivers including:

  • Elderly and Disabled (“E & D”) Waiver;
  • State of Alabama Independent Living (“SAIL”) Waiver;
  • Intellectual Disabilities (“ID”) Waiver;
  • Living At Home (“LAH”) Waiver;
  • HIV/AIDS Waiver;
  • Technology Assisted (“TA”) Waiver for Adults ;
  • Alabama Community Transition (“ACT”) Waiver.

What programs assist people who have developmental disabilities in Alabama? In Alabama, The Division of Developmental Disabilities manages several Medicaid waiver programs to help persons with developmental disabilities. Alabama's largest waiver for persons with disabilities is the Intellectual Disabilities (“ID”) Waiver which currently serves 5260 people. In addition, the Living at Home supports waiver offers the same services except residential habilitation. It is intended to be a wraparound waiver and is capped at $25,000.

What state department handles the Medicaid waiver program in Alabama? The Alabama Department of Mental Health, Division of Developmental Disabilities (DD) is the Operating Agency for Medicaid and assists persons with Intellectual and developmental disabilities. Alabama has several waivers and you might qualify for more than one.

What is the best number to call to get started with the Alabama Medicaid Waiver?
Call (800) 361-4491 to start the application process and be placed on the ID wait list. Call (800) 367-0955 to be referred to a provider.

Is there a website for the Alabama Medicaid Waiver program? http://www.mh.alabama.gov

Who Qualifies For Assistance?

What is considered a developmental disability in Alabama? Eligibility for The Intellectual Disabilities Waiver is determined by an assessment of the individual. The person must have an I.Q. test result of below 70; the individual must demonstrate significant or substantial functional limitations.

Are there income limits to receive services in Alabama? There are income limits, but the financial Medicaid requirements are based on the individual’s income not the family’s income. You must be SSI or Medicaid eligible.

How old do you have to be to start receiving services in Alabama? The requirements to receive services vary by program. The Intellectual Disabilities (“ID”) Waiver starts at three years old.

Is There a Waiting List For Services in Alabama?

How long is the waiting list in Alabama? Persons with disabilities will be put on a waiting list for services. Depending on the circumstance it could be several years until a person gets services. Except for a few caveats the waiting list serves the most critical first.

How many people are on the waiting list in Alabama? There are 3,043 on the waiting list for the ID and LAH waivers.

How many people are currently receiving services in Alabama? The Intellectual Disabilities (“ID”) Waiver has 5260 slots. The Living at Home waiver has 569 slots.

What assistance is available while you wait in Alabama? Call (800) 367-0955 to find out if you qualify for any other assistance.

Is there priority preference for people who are in crisis in Alabama? The waiting list serves the most critical first.

What Services Are Offered & What Are The Service Limitations?

What services does the Medicaid waiver program offer in Alabama? Services may range from information and referral, to case management or hourly services, to maximum supports that provide 24-hour care.

What services are available to people living in the family home in Alabama? Services may range from information and referral, to case management or hourly services, to maximum supports that provide 24-hour care.

Does Alabama offer community group homes? Yes. Residential habilitation training is offered in group homes. The state does not directly operate residential homes in the community. However, the Alabama Department of Mental Health (ADMH) contracts with community agencies to provide residential and day habilitation services or work programs for individuals who meet criteria for services.

Does Alabama offer supported living? Alabama does offer assistance to people living in their own homes.

Are there still state owned institutions in Alabama? Alabama does have institutions, but they are actively trying to move people out of institutions. The Department of Mental Health no longer operates ICF/MRs.

How Do You Select A Provider?

Do providers work for the state in Alabama? No. Providers have a contract with community agencies. The DD Central Office staff provides oversight and support.

About how many providers are there in the state of Alabama? There are about 160 providers contracted by the Division of DD.

Do you have a choice in providers? Yes, you can choose your own provider.

How Do You Become A Provider?

How do you become a provider in Alabama? It will cost you a minimum of $1575 to become a provider in Alabama. There is a $75 registration fee to begin the process. Prospective providers are expected to attend a one-day mandatory orientation program called “Prospective Community Provider Orientation”. A fee in the amount of $1500.00 will be required for all new applicants seeking certification as an Alabama Department of Mental Health (ADMH) Community Service provider with the Division of Developmental Disabilities.

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Alabama Waivers:
  • Elderly and Disabled (“E & D”) Waiver: Assists individuals to live in the community who would otherwise require nursing facility level of care. The Operating agencies are Alabama Dept. of Public Health and Alabama Dept. of Senior Services. There are no age requirement. There are 9205 waiver slots. Call (800) 243-5463 or (334) 206-5341 for assistance.
  • Intellectual Disabilities (“ID”) Waiver: Serves individuals who would otherwise require level of care available in an Intermediate Care Facility for the Mentally Retarded (ICF/MR). The Operating Agency is the Alabama Department of Mental Health. Serves persons 3 years old or older and has 5260 waiver slots. Call (800) 361-4491 for assistance.
  • State of Alabama Independent Living (“SAIL”) Waiver: Serves adult individuals with specific medical diagnosis who are at risk of being institutionalized in a nursing home. The Operating agency is the Alabama Dept. of Rehabilitation Services. Persons must be 18 years or older. There are 660 slots. Target population includes: Quadriplegia, Traumatic brain injury, Amyotrophic lateral sclerosis, Multiple sclerosis, Muscular dystrophy, Spinal muscular atrophy, Severe cerebral palsy, and Stroke.
  • Living At Home (“LAH”) Waiver: Essentially the same as ID waiver, except: does not offer Residential Habilitation Training services (Group Home) and has an individual cost cap of $25,000.00. 569 slots
  • HIV/AIDS Waiver: Serves adult individuals with a diagnosis of HIV, AIDS, and related illnesses who are at risk of being institutionalized in a nursing home. The Operating agency is the Alabama Department of Public Health. Persons must be 21 years or older. There are 150 slots.
  • Technology Assisted (“TA”) Waiver for Adults: Serves adult individuals with complex medical conditions who are at risk of being institutionalized in a nursing home. Targets complex medical conditions who are ventilator dependent or who have tracheostomies. The Operating agency is the Alabama Medicaid Agency. Persons must be 21 years or older. There are 40 slots.
  • Alabama Community Transition (“ACT”) Waiver: Serves adult individuals with disabilities or long term illnesses who currently live in a nursing home and desire to transition to a home or community-based setting. This waiver has a consumer directed option. The Operating agency is the Alabama Department of Rehabilitation Services. There is no age requirement. There are 200 slots.