Disability services in Alabama

Adults 22 and older with an intellectual disability and at least one substantial functional limitation who do not yet need institutional care. Income up to 150% of poverty, with earnings up to 250% of poverty disregarded, and no resource test.

Start with: Alabama Department of Mental Health (ADMH) Developmental Disabilities Call Center · (800) 361-4491 · Website (opens in a new tab)

Enrollment is limited and approved applicants wait for an opening.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the ADMH Developmental Disabilities Call Center at 1-800-361-4491.
2. The call center sends your first application to the support coordination agency for your area.
3. Within about five business days, a support coordinator calls you to gather records.
4. Give the support coordinator your psychological test, adaptive records and history.
5. The regional office for your county reviews the packet. If approved, your name goes on the waiting list.

Have these ready

• Psychological evaluation with IQ score
• Adaptive functioning records (such as the ICAP)
• School or medical records showing disability began before age 22
• Medicaid card or Medicaid status
• Description of current needs

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People age 3 and older with an intellectual disability (IQ of 72 or below, onset before 22) who meet ICF/IID level of care. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Mental Health (ADMH) Developmental Disabilities Call Center · (800) 361-4491 · Website (opens in a new tab)

Approved applicants are placed on a waiting list until a slot opens.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the ADMH Developmental Disabilities Call Center at 1-800-361-4491.
2. The call center sends your first application to the support coordination agency for your area.
3. Within about five business days, a support coordinator calls you to gather records.
4. Give the support coordinator your psychological test, adaptive records and history.
5. The regional office for your county reviews the packet. If approved, your name goes on the waiting list.

Have these ready

• Psychological evaluation with IQ score
• Adaptive functioning records (such as the ICAP)
• School or medical records showing disability began before age 22
• Medicaid card or Medicaid status
• Description of current needs

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People age 3 and older with an intellectual disability who live with family or natural supports and meet ICF/IID level of care. You must be in an eligible group, such as SSI or SSI-related Medicaid.

Start with: Alabama Department of Mental Health (ADMH) Developmental Disabilities Call Center · (800) 361-4491 · Website (opens in a new tab)

Approved applicants are placed on a waiting list until a slot opens.

Apply for Medicaid first.

Steps

1. Call the ADMH Developmental Disabilities Call Center at 1-800-361-4491.
2. The call center sends your first application to the support coordination agency for your area.
3. Within about five business days, a support coordinator calls you to gather records.
4. Give the support coordinator your psychological test, adaptive records and history.
5. The regional office for your county reviews the packet. If approved, your name goes on the waiting list.

Have these ready

• Psychological evaluation with IQ score
• Adaptive functioning records (such as the ICAP)
• School or medical records showing disability began before age 22
• Medicaid card or Medicaid status
• Description of current needs

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults 21 and older with complex medical needs who use or have used a ventilator or have a tracheostomy, and who meet nursing facility level of care. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Senior Services (ADSS) · (800) 243-5463 · Website (opens in a new tab)

Enrollment is limited and there may be a waiting period.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the Alabama Department of Senior Services.
2. Ask to apply for the Technology Assisted (TA) Waiver for Adults.
3. Give medical records about the ventilator or tracheostomy.
4. Finish the Medicaid financial application.
5. Wait for a slot and a start date.

Have these ready

• Medical records
• Social Security number
• Proof of income
• Bank statements

About this program (opens in a new tab) · Providers in the Atlas

People who are elderly or have a disability and meet nursing facility level of care. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Senior Services (Area Agency on Aging / ADRC) · (800) 243-5463 · Website (opens in a new tab)

Enrollment is limited and there may be a waiting period.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call 1-800-243-5463 to reach your local Area Agency on Aging.
2. Ask to apply for the Elderly and Disabled (E&D) Waiver.
3. A case manager checks if you need nursing home level care.
4. Send the Medicaid application and papers they ask for.
5. If a slot is open and you qualify, you will get a start date.

Have these ready

• Social Security number
• Proof of income
• Bank statements
• Medical records or doctor information

Your local Aging and Disability Resource Center can start the application. Find yours.

About this program (opens in a new tab) · Providers in the Atlas

Adults 18 and older with certain diagnoses (such as quadriplegia, traumatic brain injury, ALS, multiple sclerosis, severe cerebral palsy or stroke) who meet nursing facility level of care. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Rehabilitation Services (ADRS) · (844) 602-7245

Enrollment is limited and there may be a waiting period.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call ADRS at 1-844-602-7245.
2. Ask to apply for the State of Alabama Independent Living (SAIL) Waiver.
3. Have a doctor confirm your diagnosis.
4. Finish the Medicaid financial application.
5. Wait for a slot and a start date.

Have these ready

• Medical records with diagnosis
• Social Security number
• Proof of income
• Bank statements

About this program (opens in a new tab) · Providers in the Atlas

People age 3 and older with an intellectual disability (IQ below 70, onset before 18) at ICF/IID level of care, in one of four age and living-situation groups. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Mental Health (ADMH) Developmental Disabilities Call Center · (800) 361-4491 · Website (opens in a new tab)

Enrollment is limited and approved applicants wait for an opening.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the ADMH Developmental Disabilities Call Center at 1-800-361-4491.
2. The call center sends your first application to the support coordination agency for your area.
3. Within about five business days, a support coordinator calls you to gather records.
4. Give the support coordinator your psychological test, adaptive records and history.
5. The regional office for your county reviews the packet. If approved, your name goes on the waiting list.

Have these ready

• Psychological evaluation with IQ score
• Adaptive functioning records (such as the ICAP)
• School or medical records showing disability began before age 22
• Medicaid card or Medicaid status
• Description of current needs

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People with disabilities or long-term illnesses who now live in an institution and want to move home or to the community, and who meet nursing facility level of care. Income limit $2,982 a month and resources under $2,000.

Start with: Alabama Department of Senior Services (ADSS) · (800) 243-5463 · Website (opens in a new tab)

Enrollment is limited and there may be a waiting period.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call ADSS at 1-877-425-2243.
2. Tell them you live in a nursing home or institution and want to move out.
3. Ask to apply for the Alabama Community Transition (ACT) Waiver.
4. Work with the case manager on a move plan.
5. Finish the Medicaid financial application.

Have these ready

• Social Security number
• Proof of income
• Bank statements
• Facility contact information

About this program (opens in a new tab) · Providers in the Atlas