Home- and Community-Based Services (HCBS) Medicaid Waivers
Alabama’s Medicaid waivers provide services to support persons with intellectual or significant physical and medical disabilities so they can live at home or in other community-based settings.
Alabama runs seven Medicaid waiver programs, serving more than 23,000 Alabamians with disabilities. Each waiver has its own eligibility standards and provides different services. Depending on the waiver, the services can include things like personal care, skilled nursing, behavioral supports, respite services, supported employment services, assistive technology, and homemaker services.
Private Duty Nursing Rule under EPSDT:
We are aware of the planned enforcement of Ala. Admin. Code r. 560-X-11-.14(2)(k)(10), which states that private duty nursing (PDN) services may not be provided by a recipient’s spouse, parent, guardian, foster parent, or anyone legally responsible for the recipient who resides with the recipient. This rule impacts only EPSDT providers, which is the service that provides the majority of Medicaid-funded private duty nursing services for children under the age of 21. This rule has been in place for several years, though enforcement was not prioritized until recently. We encourage those impacted by this enforcement to contact Medicaid and their local legislators to inform them of the rule affects them and those they care for. If you would like to have an intake with ADAP to provide information about your experience and learn more about how enforcement of this rule impacts your family, you can schedule an intake call ADAP’s toll-free line at 800-826-1675.
ADAP handles a variety of issues related to waivers including eligibility denials and disputes about services.