In Alabama, seniors who earn less than $2,523 per month and have assets totaling less than $2,000 may qualify for financial assistance that pays some or all of their home health care costs. Assistance is provided through Medicaid, which is a government program that serves low-income residents statewide. Alabama offers three Medicaid Home and Community-Based Services (HCBS) waivers for eligible seniors. In this guide, learn about these waivers and what each provides.

Elderly & Disabled (E&D)

The E&D waiver provides home health care and other necessary services for people who would otherwise require care in an institutional setting. In addition to meeting income and asset requirements, seniors must also be disabled and meet the need for a nursing facility level of care. Individuals can apply for this program by calling the Department of Senior Services at 1 (800) 243-5463.

Services include:

  • Personal care
  • Skilled nursing
  • Respite care
  • Adult day health
  • Case management
  • Housekeeping and chores
  • Home-delivered meals

Alabama Community Transition (ACT)

ACT is a waiver that helps seniors who reside in a nursing home move back into their own home with a variety of services and supports. To qualify, seniors must be deemed eligible to safely return to their home and plan to do so within 180 days of their application. Individuals can apply by calling 1 (877) 425-2243. ACT provides the same services as E&D, as well as:

  • Transitional assistance
  • Home modifications
  • Medical equipment and supplies
  • Personal emergency response system
  • Assistive technology

Personal Choices

Personal Choices is a self-directed program that allows recipients to choose their own caregivers and services. Seniors receive a monthly stipend to spend on caregivers, home health services, medical equipment and other necessities. Recipients can also get help with making a budget, tracking expenses, paying hired caregivers and filing taxes. Individuals must be a part of one of Alabama’s HCBS waivers to qualify for the Personal Choices option. To find out more and learn how to apply, call 1 (877) 425-2243.