There are six offices within the Division of Intellectual Disability Services (ID): Office of Administrative and Fiscal Operations, Office of Consumer Empowerment, Office of Psychological and Behavioral Services, Office of Quality and Planning, Office of Systems Management, and the Office of Waiver Services and Case Management.

The Office of Administrative and Fiscal Operations is responsible for providing fiscal/technical assistance to the Associate Commissioner for ID, to ID office staff, to the state-operated developmental center, and to regional community services operations. This includes assistance for budgeting, revenue, contracts, purchasing, etc.

The Office of Consumer Empowerment is responsible for providing leadership for individuals with intellectual disabilities to be active self-advocates and to participate in governmental and civic activities that promote the rights, the needs, and the desires of individuals in the state of Alabama to become self-reliant, contributing members of the community in which they live.

The Office of Psychological and Behavioral Services is responsible for the state-wide development, training, implementation and monitoring of behavioral and psychological services in the state-operated developmental center and in community agencies serving individuals with intellectual disabilities. This process involves, but is not limited to, the development of the Alabama behavior support service delivery system, establishing and leading a Behavior Analysis Task Force, and providing leadership for the provision of comprehensive behavioral and health supports and services to individuals served through the DMH.

Three Comprehensive Support Services Teams provide supports to individuals (children and adults), families, and provider agencies. These regionally-based teams provide assessment and assist with providing an array of supports to individuals who require specialized services such as preventive and crisis behavioral, psychiatric, medical, and dental services. The teams also provide technical assistance to service providers to develop internal capacity related to these and other specialty areas.

The Office of Quality and Planning is responsible for certifying community intellectual disabilities services throughout the state of Alabama. The certification process requires monitoring and interpreting established standards for intellectual disabilities services, developing proposed revisions to standards, scheduling and conducting on-site visits and follow-up visits, preparing and reviewing survey reports and processing reports from Division of Intellectual Disability Services to the contract agency, monitoring trends of standards found out of compliance for standard revision and/or provider training, writing other reports, and providing technical assistance to community agencies as needed. It also includes quality enhancement to ensure optimally safe, efficient and effective care and services for each individual within the limits set by available resources. This function is implemented through application of systemic and objective monitoring and evaluation processes as specified in the Quality Enhancement Plan which is designed to foster the improvement of care and services. The practical function of the Quality Enhancement Plan is to provide administrators, clinicians, direct care and support staff with accurate, timely information that generates responsible decision-making which continuously seeks to improve organizational functions, performance, and the quality of life of individuals served in all service delivery systems.

The Office of Waiver Service and Case Management is responsible for the programmatic and management of services and supports provided through a wide array of home- and community-based arrangements to individuals with intellectual disabilities. Services also include information and referral, and the coordination of child and adolescent services. The Director supervises five (5) regional Community Services Offices to develop and coordinate services/supports in the regional catchment areas. The primary focus of this office is to manage the Medicaid waiver programs for the State that provides financial support for services to persons with intellectual disabilities. Alabama currently has two waivers for individuals with intellectual disabilities – the Medicaid Home and Community-Based ID Waiver and the Alabama Living at Home Waiver.