Suppose you care for a loved one with an intellectual disability in Alabama. In that case, you may be eligible for a Medicaid waiver program to help you pay for the services and support you need. This article explores what the AL HCBS Living at Home Waiver for Persons with Intellectual Disabilities is, how it works, and how it can benefit you and your family.
The AL HCBS Living at Home Waiver for Persons with Intellectual Disabilities (LH Waiver) is a Medicaid waiver that provides home and community-based services (HCBS) to individuals with intellectual disabilities who live in their homes or with their families. The LH Waiver is designed to prevent or delay institutionalization and to promote independence and community integration for individuals with intellectual disabilities. The LH Waiver serves Medicaid-eligible individuals under the waiver who would otherwise need an ICF/IID level of care.
To qualify for the LH Waiver, you must meet the following criteria:
The LH Waiver offers a variety of services and supports that can help you live safely and comfortably in your home or community. Some of the services and supports available under the LH Waiver are:
One of the benefits of the LH Waiver is that it allows you to self-direct some of the services and supports you receive. This means that you can choose who provides the service, how the service is provided, when the service is provided, and where the service is provided. You can hire, train, supervise, and fire your service providers. Self-direction gives you more control and flexibility over your care.
One of the services you can self-direct under the LH Waiver is Personal Care Services, meaning you can choose to hire a family member, a friend, or a neighbor as your personal care provider. You can also pay them for the care they provide. This is a great way to compensate your unpaid family caregiver for their work.
You must enroll in the Self-Directed Personal Care program (SDPC) to self-direct your Personal Care Services under the LH Waiver. The ADMH administers the SDPC program and provides training, support, and oversight to help you manage your personal care budget and staff. You must also use a fiscal intermediary agency (FIA) to handle your personal care provider's payroll, taxes, and insurance.
The amount of money you can pay your family caregiver depends on several factors, such as the number of hours of care you need, the rate of pay for personal care providers in your area, and the availability of funds in the LH Waiver. The rate of pay may vary depending on your location and the qualifications of your provider. You can contact your case manager or the ADMH to find out how much money you can allocate for your personal care provider.
If you or your loved one may qualify for this waiver program, we encourage you to fill out this form to determine your eligibility for caregiver compensation. We will help you navigate the application process and connect you with the resources you need.