Alabama’s 7 Medicaid Waivers


Alabama currently has 7 Medicaid waivers that help people with different needs. Each waiver has its own requirements for who can apply, based on medical needs and program eligibility.

Here is a breakdown of the waivers, grouped by the level of care needed and the state agency that runs the program:

  • Alabama Department of Mental Health (ADMH) manages waivers for people who need an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care:

1. ID Waiver (Intellectual Disability)

2. CWP Waiver (Community Waiver Program)

3. LAH Waiver (Living At Home)

  • Alabama Department of Senior Services (ADSS) manages waivers for people of all ages who need Nursing Facility (NF) level of care:

4. E&D Waiver (Elderly and Disabled)

5. TA Waiver (Technology Assistant)

6. ACT Waiver (Alabama Community Transition)

  • Alabama Department of Rehabilitation Services (ADRS) runs one waiver for people who need Nursing Facility (NF) level of care:

7. SAIL Waiver (State of Alabama Independent Living)

For assistance on better understanding Medicaid Waivers in Alabama, please reach out to Disability Advocacy Solutions. 


Alabama’s 7 Medicaid Waivers At A Glance

Medicaid WaiverAdmin-istration AgencyCase Management AgencyLevel of Care Eligibility RequirementAdditional Eligibility Criteria
ID WaiverAL Dept of Mental Health (ADMH)310 BoardsIntermediate Care Facility for Individuals with Intellectual Disabilities Level of Care (ICF/IID LOC)IQ score of 72 or below
CWP WaiverADMH310 BoardsICF/IID LOCIQ score under 70Only available in the following counties:Baldwin, Elmore, Houston, Jefferson, Limestone, Madison, Mobile, Montgomery, Morgan, Tuscaloosa, Walker
LAH WaiverADMH310 BoardsICF/IID LOCNo longer enrolling
E&D WaiverAL Dept of Senior Services (ADSS)Area Agency on Aging (AAA)Nursing Facility Level of Care (NF  LOC)No additional criteria
TA WaiverADSSAAANF LOC& 21+ years old & has a trach and/or vent
ACT WaiverADSSAAANF LOC& transitioning from a nursing facility
SAIL WaiverAL Dept of Rehabilitation Services (ADRS)ADRSNF LOC& 18 years old & diagnosed under the age of 63 with a substantial neuro impairment, severely debilitating disease, or rare genetic disease

Contact information for Alabama Medicaid can be located at this link

For assistance on better understanding Medicaid Waivers in Alabama, please reach out to Disability Advocacy Solutions