3. Licensing or Certification 

Providers must be: 

• Licensed Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) 

• Certified by the Alabama Board of Nursing 

4. Responsible State Agency 

The primary agencies overseeing Skilled Respite Services are: 

• Alabama Medicaid Agency 

• Alabama Department of Senior Services (for elderly individuals) 

• Alabama Department of Mental Health (for individuals with intellectual disabilities) 

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, including start and end times 

• 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 Skilled Respite Service providers. 

9. Pre-Application Training 

While not specifically pre-application, providers must maintain current nursing licenses and complete any required training specific to the waiver program they are serving. 

10. Additional Notes 

• Services are typically limited to a certain number of hours per year, as specified in the individual's waiver plan 

• Skilled Respite can be provided in the individual's home or in approved community settings 

• As of February 2025, these services continue to play a crucial role in supporting caregivers and preventing burnout 

• Providers should be aware of the distinction between skilled respite and other forms of respite care