The Elderly and Disabled Waiver program provides home and community-based services to the elderly and individuals with disabilities at risk for nursing facility placement. Case managers work alongside participants to develop individualized care plans. Participants in this program may receive personal care, homemaker, respite, adult day health, companion services, and home-delivered frozen meals.

Personal Choices provides self-directed home and community-based services. It is designed to offer older adults and individuals with disabilities more choices and flexibility in the type of care they receive. Participants enrolled in the program may use their allotted budgets to receive the care they need. Participants can also appoint family or friends to provide their care. They can also save for other items that support and enhance their health.

To participate in Personal Choices, the individual must be enrolled in the Elderly and Disabled (E&D) Waiver program or the Alabama Community Transition (ACT) Waiver program. A Personal Choices Counselor helps the participant with the application process and supports them and their workers as care is provided with an individualized budget.

Gateway supports individuals who wish to transition from an institutional setting to community living. A transition coordinator works alongside the applicant to ensure a smooth transition. A variety of services is available to ensure a successful transition into the community and to provide ongoing care in the community based on the client’s medical needs.

The Alabama Community Transition (ACT) Waiver provides services to individuals with disabilities or long-term illnesses who have transitioned from a nursing facility to a home or community setting. Many services are available to ensure a successful transition into the community and provide ongoing care based on the client’s medical needs.

The Technology Assisted (TA) Waiver provides services to individuals age 21 or older with complex skilled medical conditions, who are ventilator-dependent or have a tracheostomy, and who would otherwise require care in a long-term care setting to instead remain in the community. The plan of care and case management services are based on individual client needs. Services include private duty nursing, personal care/attendant service, medical supplies, assistive technology, and targeted nurse case management.

Hospital to Home helps individuals return home after a hospitalization. Ideal candidates for Hospital to Home are full Alabama Medicaid beneficiaries who are admitted from home to an acute-care facility and are at risk of permanent placement in a long-term care facility.