1. Program Definition and Services 

Homemaker Services include: 

• Light housekeeping (dusting, vacuuming, mopping floors) 

• Laundry 

• Meal preparation and cleanup 

• Essential shopping for household items and groceries 

• Assistance with bill paying and other household management tasks 

2. Regulations 

Homemaker Services are governed by: 

• Alabama Medicaid Agency regulations 

• Home and Community-Based Services (HCBS) Waiver requirements 

• Alabama Department of Senior Services guidelines 

3. Licensing or Certification 

While specific licensing is not mentioned, providers must meet qualifications set by the Alabama Medicaid Agency and relevant waiver programs. 

4. Responsible State Agency 

The primary agencies overseeing Homemaker Services are: 

• Alabama Medicaid Agency 

• Alabama Department of Senior Services 

5. Application Process 

Providers must enroll with the Alabama Medicaid Agency and meet requirements set by the relevant waiver programs. 

6. Required Documentation 

Providers must ensure: 

• Services are listed on the client's Plan of Care 

• Proper documentation of services provided 

• Compliance with service limits and restrictions 

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 Homemaker Service providers. 

9. Pre-Application Training 

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

10. Additional Notes 

• Services are typically provided under various Medicaid waiver programs 

• Homemaker services do not include hands-on personal care 

• Services are designed to maintain a clean, healthy, and safe living environment for the recipient 

As of February 2025, these services continue to play a crucial role in supporting individuals to remain in their homes and communities.