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Alabama State Medicaid Waiver Program Application Guide

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  • Alabama State Medicaid Waiver Program Application Guide



    Waiver #1: HOME AND COMMUNITY BASED WAIVER FOR PERSONS WITH INTELLECTUAL DISABILITIES



    Who can apply?


    Circumstance/Diagnosis: Anyone with an IQ score below 70, who is over the age of 3 and requires an intermediate amount of care can apply. Alabama requires applicants to be considered to be “medically retarded” (an outdated term the Goally team doesn’t support using) and an IQ score below 70 is their benchmark.


    Income: The income limit is $2,349 per month, however, only child income is considered… so unless your child is making money, you should qualify for this.


    What do I get?

    If you qualify for this program your coverage will include multiple services. employment support and transportation, personal care, habilitation, adult companion, career counseling, community experience, community specialist services, crisis intervention, housing stabilization, skilled nursing, specialized medical equipment, specialized medical supplies, and speech/language therapy.

    How to apply?

    There is no ability to apply online. Visit the Intellectual Disabilities Call Center of the Alabama Department of Mental Health follow steps listed and call 1-800-361-4491. Working with your county regional community center could also be helpful. A detailed list of each county's office number can be found on this Brochure.


    Waiver #2 LIVING AT HOME WAIVER FOR PERSONS WITH ID


    Who can apply?


    Circumstance/Diagnosis: Anyone with an IQ score below 70, who is over the age of 3 and requires an intermediate amount of care can apply. Alabama requires applicants to be considered to be “medically retarded” (an outdated term the Goally team doesn’t support using) and an IQ score below 70 is their benchmark.


    Income: Applicant must qualify for social security or disability payments to meet income requirements.


    How to apply?

    There is no ability to apply online. Visit the Intellectual Disabilities of the Alabama Department of Mental Health follow steps listed and call 1-800-361-4491. Working with your county regional community center could also be helpful. A detailed list of each county's office number can be found on this Brochure.

    What do I get?


    If you qualify for this program your coverage will include multiple services. Habilitation services, supported employment, personal care, personal care transportation, respite care, prevocational services, occupational therapy, community specialist, and crisis intervention, physical therapy, skilled nursing, behavior management, specialized medical equipment, medical supplies, speech and language therapy.


    How these waivers are different


    The Living at Home Waiver for Persons with ID is very similar to the Home and Community Based Waiver for Persons With ID. However, it has more limited funds and tighter restrictions on who can apply.


    What does the Goally team think about Alabama’s Medicaid waivers?


    We think Alabama’s waiver program is outdated with strict requirements for enrollment. They only have waivers covering individuals who require a hospital or nursing home level of care, or for people who meet the state’s requirement of having a lower than 70 IQ. This makes a lot of applicants ineligible for the waiver program and leaves a lot of people who need Medicaid services without them. Applying for an Alabama Medicaid waiver is a difficult process, and requires multiple conversations over the phone. Be prepared for this if you plan on applying for Alabama Medicaid waivers



    Goally Waiver Scorecard

    Website clarity and ease of navigation: 1/5

    Access and requirements of qualification: 1/5

    Healthcare coverage: 3/5


    Online Resources

    https://www.familyvoicesal.org/

    https://www.acdd.org/

    https://adap.ua.edu/


    Telephone Resources

    Family Voices of Alabama Number: (877)-771-3862

    Alabama Disabilities Advocacy Program Number: (205)-348-4928

    Alabama Council on Developmental Disabilities Number: (334) 242-3973
    Last edited by Brady; 06-30-2020, 01:42 PM.
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