Alabama Medicaid Waiver Toolkit Table of Contents

1. Medicaid Waivers
   1. What is a Medicaid Waiver?
   2. Why do Medicaid Waivers/HCBS exist?
   3. The Olmstead Decision
   4. Why are these programs called “waivers”?
   5. What do waivers allow?
   6. Medicaid Waiver Myths vs. Facts
   7. Alabama’s 7 Medicaid Waivers
   8. Eligibility for all 7 Alabama Waivers
   9. Case Management
      1. 310 Boards
      2. Agencies on Aging

2. Nursing Facility Level of Care Checklist

3. Alabama Medicaid and Private Duty Nursing
   1. What is EPSDT?
   2. EPSDT Private Duty Nursing
      1. Criteria for High Technology Need, Non-Ventilator Recipients
      2. Criteria for Ventilator Dependent Recipients

4. Alabama Medicaid Contact Information
   1. Alabama Medicaid contacts
   2. Area Agencies on Aging (AAAs) contacts
   3. Alabama Department of Mental Health contacts
      1. 310 Boards contacts
   4. SAIL Waiver contacts

5. Home and Community Based Waiver for Persons with Intellectual Disabilities (ID Waiver)
   1. Overview
   2. Eligibility
      1. Financial Eligibility
      2. Medical and Program Eligibility
   3. Applying for the ID Waiver in Alabama
      1. Who Manages the Process?
      2. Before Applying for the ID Waiver
      3. Don’t Have an IQ Test?
      4. How to Apply
      5. Important Timeline
      6. Statewide Waiting List and Criticality Categories
      7. Need Help with the Application Process?
      8. How to Handle the Wait
   4. ID Waiver Services

6. Community Waiver Program (CWP)
   1. Overview
      1. What is the CWP?
      2. How CWP is different?
   2. Enrollment Groups
      1. CWP Priority Categories
      2. Reserve Capacity
   3. Eligibility
      1. Financial Eligibility
      2. Medical and Program Eligibility
   4. What is ICF/IID Eligibility in Alabama?
   5. CWP Waiver Application Guide
      1. Who Manages the Process?
      2. Before You Apply
      3. Don’t Have an IQ Test?
      4. How to Apply
      5. Important Timeline
      6. Statewide Waiting List
      7. How to Handle the Wait
   6. CWP Services

7. Living at Home (LAH) Waiver for Persons with Intellectual Disabilities
   1. Current Status
   2. Overview
   3. LAH Waiver Services

8. Elderly and Disabled (E&D) Waiver
   1. Overview
   2. Eligibility
      1. Financial Eligibility
      2. Medical and Program Eligibility
         1. What Does that Mean?
         2. Nursing Facility Level of Care
         3. Program Eligibility
            1. How Can Physicians Assist?
   3. Application Guide
      1. Who handles applications?
      2. Before You Apply
      3. Starting the Application
      4. What Happens Next?
      5. Timeline: 90 Days to decision
      6. Applying for Multiple Waivers
   4. Approved: Next Steps
      1. Person Centered Planning
   5. E&D Waiver Services
   6. Personal Choices Program – self-directed services
      1. What is the FMSA?
      2. Budgeting/Spending Plans
      3. Budget Example
   7. Additional Benefits
      1. Alabama HIPP
      2. Medical Case Management
   8. Ongoing Waiver Management
   9. What Else You Need to Know
      1. How to file an appeal
      2. Myths vs. Facts

9. Technology Assisted (TA) Waiver

1. TA Waiver Overview
2. Eligibility
   1. Financial Eligibility
   2. Medical and Program Eligibility
3. Application Guide
   1. Before you begin
   2. Starting the Application
   3. Assessment Process
   4. After the Application
4. TA Waiver Services

8. Alabama Community Transition (ACT) Waiver

1. Overview
2. Eligibility
   1. How it differs from the E&D Waiver
   2. Financial Eligibility
   3. Medical and Program Eligibility
3. Application Guide
   1. Referrals from Nursing Facilities
   2. Referrals from the Public
   3. Before Starting the Application
   4. Starting the Application
   5. Communicating with the AAA
   6. After Starting the Application
   7. After the Application is filed
4. ACT Waiver Services

9. State of Alabama Independent Living (SAIL) Waiver

1. Overview
2. Eligibility
   1. Financial Eligibility
   2. Medical and Program Eligibility
3. Application Guide
   1. Before You Begin
   2. How to Apply
   3. After You Apply
   4. Eligibility Timeline
   5. What to do while you wait
   6. Additional Guidance
4. SAIL Waiver Services

10. Person-Centered Planning (PCP)

1. What is a Person-Centered Plan?
2. What should be in your plan?
3. How services are chosen 
4. Know Your Rights
5. Self-Direction: Take Control
6. HCBS Settings Rule Protections
7. In Summary: A Good PCP Will…

11. Preparing for a waiver meeting

12. On A Waiver…Now What?

1. AL HIPP
2. Non-Emergency Transportation
3. Amazon Prime
4. Education related fee waivers
5. Museums4All
6. Affordable Internet

13. TAXES and WAIVER SERVICE EMPLOYEES

14. Adverse Medicaid Decisions

1. Know Your Rights
2. Request an Appeal
3. The Informal Conference
4. The Fair Hearing
5. Building Your case
6. Telling Your Story
7. After the Hearing
8. Sample Letters
   1. Informal Hearing Request
   2. Fair Hearing Request

15. Alabama Medicaid Glossary of Terms

Pediatric Caregiver Resources in Alabama: