Day Habilitation Services in Alabama 


1. Program Definition and Services 

Day Habilitation Services in Alabama provides structured, comprehensive programs designed to offer lower-cost alternatives to institutionalization. Services include: 

  • Health education and self-care training 
  • Therapeutic activities 
  • Social and recreational activities 
  • Community awareness and integration 
  • Skill development for independent living 
  • Nutrition and exercise programs 

 

2. Regulations 

Day Habilitation Services are governed by: 

  • Alabama Medicaid Agency regulations 
  • Alabama Department of Mental Health rules 
  • Home and Community-Based Services (HCBS) Waiver requirements 

 

3. Licensing or Certification 

Providers must be certified by the Alabama Department of Mental Health as Waiver Service Providers. 

 

4. Responsible State Agency 

The primary agencies overseeing Day Habilitation Services are:

Alabama Medicaid Agency 

Alabama Department of Mental Health 

 

5. Application Process 

Providers must enroll with the Alabama Medicaid Agency and meet certification requirements set by the Alabama Department of Mental Health. 

 

6. Required Documentation 

Providers must ensure: 

  • Services are listed on the client's Plan of Care 
  • Proper documentation of services provided 
  • Compliance with staffing ratios based on acuity tiers 

 

7. Timeline for Approval 

Specific timelines for approval are not available. 

 

8. Pre-Application Process 

There is no explicit mention of a pre-application process for Day Habilitation Service providers. 

 

9. Pre-Application Training 

While not specifically pre-application, providers must ensure staff have sufficient knowledge and training to meet individual client needs. 

 

10. Additional Notes 

Services are available for individuals with intellectual disabilities, age 3 and above 

Reimbursement rates are based on four acuity tiers determined by ICAP scores 

Staffing ratios vary from 1:15 to 1:1 depending on acuity tier and setting (facility-based or community-based) 

As of February 2025, these services continue to play a crucial role in promoting community integration and skill development for individuals with intellectual disabilities.

 

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