Starting an HCBS Agency in Alabama

What You Need to Know About Starting a Specific HCBS Agency in Alabama


These videos provide an overview of the various Home and Community-Based Services (HCBS) available in Alabama for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program operates under the Alabama Department of Mental Health (ADMH) and Alabama Medicaid.

Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Alabama. Explore each section to find the service that best aligns with your goals or area of interest.

 

Respite Care Services

Short-Term Relief Services for Caregivers of Individuals with Intellectual and Developmental Disabilities

Respite Care Services in Alabama offer temporary relief to primary caregivers of individuals with developmental disabilities. These services may be provided in-home or out-of-home and are regulated under the Alabama Department of Mental Health (ADMH) through the Home and Community-Based Services (HCBS) Medicaid Waiver.

 
 

Residential Care Services

24/7 Community-Based Living for Individuals with Intellectual and Developmental Disabilities

Residential Care Services in Alabama provide long-term, 24-hour support to individuals with developmental disabilities in a community-based, home-like setting. These services are regulated under the Alabama Department of Mental Health (ADMH) through the Home and Community-Based Services (HCBS) Medicaid Waiver.

 
 

Integrated Employment

Competitive, Community-Based Job Support for Individuals with Intellectual and Developmental Disabilities

Integrated Employment Services in Alabama promote competitive, meaningful work in the community for individuals with developmental disabilities. These services are regulated by the Alabama Department of Mental Health (ADMH) under the Home and Community-Based Services (HCBS) Medicaid Waiver and are designed to support employment in integrated settings alongside individuals without disabilities.

 
 

Personal Assistance Services

IN-HOME SUPPORT WITH DAILY LIVING TASKS FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

Personal Assistance Services in Alabama help individuals with intellectual and developmental disabilities remain safely in their homes by providing support with activities of daily living (ADLs). These services are regulated by the Alabama Department of Mental Health (ADMH) and funded through the state’s Home and Community-Based Services (HCBS) Medicaid Waiver programs.

 
 

Personal Emergency Response System

24/7 MONITORING AND EMERGENCY ALERT SUPPORT FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

Personal Emergency Response Systems (PERS) in Alabama are electronic monitoring systems that allow individuals with disabilities to access emergency help at the push of a button. These services are designed to promote safety and independence for individuals living in the community and are regulated under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers.

 
 

Skilled Nursing Services

LICENSED NURSING CARE FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN COMMUNITY SETTINGS

Skilled Nursing Services in Alabama provide medically necessary care to individuals with intellectual and developmental disabilities (IDD) who have complex health conditions. These services are delivered in-home or in a community setting and are regulated under the Alabama Department of Mental Health (ADMH) and funded through the state’s Home and Community-Based Services (HCBS) Medicaid Waiver programs.

 

 
 

Transitional Assistance Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES DURING MOVES TO MORE INDEPENDENT LIVING

Transitional Assistance Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) as they move from institutional, residential, or dependent care settings into more independent, community-based living arrangements. These services are authorized under the Alabama Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Alabama Department of Mental Health (ADMH).

 
 

Day Habilitation Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH STRUCTURED DAYTIME SKILL-BUILDING AND COMMUNITY ENGAGEMENT

Day Habilitation Services in Alabama provide individuals with intellectual and developmental disabilities (IDD) structured opportunities to build life skills, foster social connections, and participate in meaningful activities during the day. These services are authorized under Alabama’s Home and Community-Based Services (HCBS) Waivers, including the ID Waiver, Living at Home (LAH) Waiver, and the State of Alabama Community Waiver Program, and are overseen by the Alabama Department of Mental Health (ADMH).

 
 

Prevocational Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN BUILDING WORKPLACE SKILLS

Prevocational Services in Alabama are designed to assist individuals with intellectual and developmental disabilities (IDD) in acquiring foundational skills necessary for successful employment. These services are delivered in individual or group settings and focus on non-job-task-specific training, such as soft skills, communication, time management, and appropriate workplace behaviors. Prevocational Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must comply with guidelines established by the Alabama Department of Mental Health (ADMH)

 
 

Adult Companion Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH SOCIALIZATION AND NON-MEDICAL CARE

Adult Companion Services in Alabama are designed to offer non-medical care, supervision, and social interaction for individuals with intellectual and developmental disabilities (IDD) who live in their own homes or family homes. These services help promote community inclusion, emotional support, and the safety and well-being of the individual. Adult Companion Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and follow the standards established by the Alabama Department of Mental Health (ADMH).

 
 

Assistive Technology Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH ACCESS TO TECHNOLOGICAL AIDS FOR INDEPENDENCE

Assistive Technology Services in Alabama are designed to enhance the independence, communication, mobility, and daily functioning of individuals with intellectual and developmental disabilities (IDD) through the provision and support of specialized devices and technology. These services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet the regulatory standards set by the Alabama Department of Mental Health (ADMH).

 
 

Behavioral Health

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH CLINICAL AND BEHAVIORAL INTERVENTIONS

Behavioral Health Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) in managing behaviors that interfere with daily living, community participation, and interpersonal relationships. These services include clinical assessments, behavioral support plans, therapy, and crisis intervention, all delivered under the guidelines of Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and in compliance with the standards set by the Alabama Department of Mental Health (ADMH)

 
 

Environmental Accessibility

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH HOME MODIFICATIONS FOR SAFETY AND INDEPENDENCE

Environmental Accessibility Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) by providing physical adaptations to their home environments. These adaptations enable greater independence, promote safety, and reduce barriers to daily living activities. Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must follow the standards established by the Alabama Department of Mental Health (ADMH).

 

 
 

IDG Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH TEAM-BASED SERVICE PLANNING AND CARE COORDINATION

Interdisciplinary Group (IDG) Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) by coordinating a team of professionals who work collaboratively to assess needs, develop individualized service plans, and monitor outcomes.

 
 

Housing Stabilization

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN ACHIEVING AND MAINTAINING SAFE, STABLE LIVING ARRANGEMENTS

Housing Stabilization Services in Alabama are designed to assist individuals with intellectual and developmental disabilities (IDD) in locating, transitioning into, and maintaining stable, independent housing within the community. These services focus on reducing homelessness risk, preventing institutionalization, and promoting long-term residential stability. Housing Stabilization Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and are implemented in accordance with the Alabama Department of Mental Health (ADMH) requirements.

 
 

Occupational Therapy

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN ACHIEVING INDEPENDENCE THROUGH SKILL DEVELOPMENT AND THERAPEUTIC INTERVENTION

Occupational Therapy Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) by improving their ability to perform daily living tasks, enhance motor and sensory functioning, and promote greater independence in home and community settings. These medically necessary services are delivered by licensed occupational therapists and are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers, following standards established by the Alabama Department of Mental Health (ADMH)

 

 
 

Physical Therapy

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN IMPROVING MOBILITY, STRENGTH, AND FUNCTIONAL INDEPENDENCE

Physical Therapy Services in Alabama are designed to assist individuals with intellectual and developmental disabilities (IDD) in improving movement, strength, coordination, and physical function necessary for independent living. These services are delivered by licensed physical therapists and are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers. All services must follow protocols set by the Alabama Department of Mental Health (ADMH) and meet federal Medicaid standards for clinical care.

 
 

Homemaker 

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN MAINTAINING A CLEAN, SAFE, AND HEALTHY HOME ENVIRONMENT

Homemaker Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) by providing assistance with routine household tasks necessary to maintain a safe and sanitary living environment. These non-medical services are intended to promote independence and prevent institutionalization. Homemaker Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must comply with standards set by the Alabama Department of Mental Health (ADMH).

 

 
 

Case Management

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH COORDINATED ACCESS TO SERVICES, SUPPORTS, AND RESOURCES

Case Management Services in Alabama are designed to help individuals with intellectual and developmental disabilities (IDD) access the services and supports they need to live safely and independently in the community. Case managers serve as the central point of coordination, ensuring all aspects of an individual's care are aligned with their goals. These services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Alabama Department of Mental Health (ADMH).

 

 
 

Adult Health Transportation

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES BY ENSURING ACCESS TO ESSENTIAL MEDICAL AND COMMUNITY-BASED SERVICES

Adult Health Transportation Services in Alabama are designed to provide non-emergency transportation for individuals with intellectual and developmental disabilities (IDD) who require reliable access to medical appointments, day programs, therapies, and other waiver-authorized services. These services are critical to ensuring continuity of care, social participation, and independence. Transportation services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet standards set by the Alabama Department of Mental Health (ADMH).

 
 

Skilled Respite 

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES BY PROVIDING TEMPORARY RELIEF TO PRIMARY CAREGIVERS THROUGH LICENSED NURSING SUPPORT

Skilled Respite Services in Alabama are designed to offer temporary, medically necessary relief to the primary caregivers of individuals with intellectual and developmental disabilities (IDD). These services are provided by licensed nursing professionals and are used when the individual requires medical oversight or skilled care during the caregiver’s absence. Skilled Respite Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must comply with standards set by the Alabama Department of Mental Health (ADMH).

 
 

Home Health

DELIVERING LICENSED SKILLED NURSING AND THERAPEUTIC CARE IN THE COMFORT OF THE CLIENT’S HOME TO PROMOTE RECOVERY, STABILITY, AND INDEPENDENCE

Home Health Services in Alabama provide physician-directed, in-home medical and therapeutic care for individuals with acute or chronic health conditions. These services are covered under Alabama Medicaid and may also be authorized through Home and Community-Based Services (HCBS) Waivers, including the State of Alabama Community Waiver Program, ID Waiver, and Living at Home (LAH) Waiver. Oversight is provided by the Alabama Department of Public Health (ADPH) and the Alabama Medicaid Agency.

 

 
 

Home Modification

IMPROVING SAFETY, ACCESSIBILITY, AND COMFORT FOR MEDICAID PARTICIPANTS THROUGH STRUCTURAL HOME ADAPTATION.

Home Modification Services in Alabama provide physical adaptations to a participant’s residence to support health, safety, and community integration. These services are authorized under Alabama Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the State of Alabama Community Waiver Program, the ID Waiver, and the LAH Waiver. Oversight is provided by the Alabama Medicaid Agency and program-specific case management teams.

 

 
 

Medical Supply

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH THE DELIVERY OF ESSENTIAL DURABLE MEDICAL EQUIPMENT AND HEALTH-RELATED SUPPLIES

Medical Supply Services in Alabama are designed to ensure that individuals with intellectual and developmental disabilities (IDD) have access to the medically necessary durable medical equipment (DME) and supplies they need to support their health, safety, and independence at home. These services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet standards established by the Alabama Department of Mental Health (ADMH) and the Alabama Medicaid Agency.

 

 
 

Meal Delivery

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES BY PROVIDING NUTRITIOUS, HOME-DELIVERED MEALS TO PROMOTE HEALTH AND INDEPENDENCE

Meal Delivery Services in Alabama are designed to ensure that individuals with intellectual and developmental disabilities (IDD) have access to regular, nutritious meals that meet their dietary needs and support their ability to live independently in their homes. These services are especially critical for individuals with limited mobility or those who cannot prepare meals safely on their own. Meal Delivery Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet the nutrition and service delivery standards established by the Alabama Department of Mental Health (ADMH).

 

 
 

Assisted Living Services

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN A SAFE, COMMUNITY-BASED RESIDENTIAL SETTING WITH 24-HOUR SUPPORT

Assisted Living Facility (ALF) Services in Alabama are designed to offer a supportive, community-based residential option for individuals with intellectual and developmental disabilities (IDD) who need assistance with daily living but do not require nursing home care. These facilities promote independence, personal choice, and community integration while ensuring the safety and well-being of residents. Assisted Living Services are delivered under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet regulations from the Alabama Department of Mental Health (ADMH) and the Alabama Department of Public Health (ADPH).

 
 

Autism Services

SUPPORTING INDIVIDUALS WITH AUTISM SPECTRUM DISORDER THROUGH EVIDENCE-BASED THERAPIES AND PERSON-CENTERED SUPPORTS

Autism Services in Alabama are designed to meet the unique developmental, behavioral, and communication needs of individuals diagnosed with autism spectrum disorder (ASD). These services support skill development, reduce challenging behaviors, and improve quality of life through individualized interventions and supports. Autism Services are delivered under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must comply with standards established by the Alabama Department of Mental Health (ADMH).

 
 

Speech & Language

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN DEVELOPING COMMUNICATION, LANGUAGE, AND SWALLOWING SKILLS​

Speech and Language Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) who have challenges with communication, speech, language processing, or swallowing. These services aim to improve functional communication, enhance social interaction, and support safety and independence. Speech and Language Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and must meet the standards established by the Alabama Department of Mental Health (ADMH).