Home & Community Based Care

Medicaid Elderly & Disabled Waiver Program

Homemaker, personal care, respite, adult day care, case management, and home delivered meals are provided through the Elderly and Disabled Medicaid Waiver Program. Services are available for elderly and disabled persons, regardless of age, who are medically eligible for nursing home admission but would prefer to remain in their homes. Financial guidelines apply.

ACT Waiver Program

This program is designed to provide services to individuals with disabilities or long term illnesses, who live in a nursing facility but want to transition home or to a community setting. Services are based on individual needs. The individual must have been in a nursing facility for at least 90 days to be eligible. Financial and medical guidelines apply.

Personal Choices

Personal Choices is an option for self-directed home and community-based services. The program allows people who are receiving services through Medicaid Waivers to self-direct, offering more choices, flexibility, and control in managing their daily lives. The program offers seniors and people with disabilities more choice and flexibility in the type of care they receive and the provider of that care. Participants, with the help of a counselor, manage their resources.

Alabama Cares Program is designed to provide assistance to caregivers who are caring for elderly (60+) family members at home as long as possible by providing training, assistance, and resources to help them take care of their loved ones while maintaining their own health. The program also provides supplemental services to grandparents(s) age (55+) taking care of their grandchildren who live in their home.


Under the Homemaker Program, clients are assisted with general household activities such as cleaning, changing bed linens, laundry, etc.