Q. Who is eligible to receive services?
A. Eligibility is determined by an assessment of the
individual. The person must have an I.Q. test result of
below 70; the individual must demonstrate
significant or substantial functional limitations in
three or more of the following major life activities:
self care, receptive and expressive language development
and use; learning; self-direction, mobility; and
capacity for independent living, with all occurring
prior to the age of 18 years. This information is
determined from standardized assessments.
Q. Who should I contact if I think I am eligible or
a member of my family is eligible for services?
A. You should contact the Division of Developmental
Disabilities Call Center at 1-800-361-4491.
Within the next business day, an initial contact form will be faxed to the local designated 310 agency (case
management agency) or other designated point of entry.
download the Call Center Brochure to obtain
guidance on steps to take to
apply for services and the administrative review options.
Q. What is needed to apply for services?
A. 1) Once contacted by the 310 agency, you will need to do the following:
- Describe the needs and preferences of the applicant (person for whom services are being requested).
- Provide information on the applicant’s current situation, personal and family history, and Medicaid
2) Additional information to be completed by the designated 310 agency:
- Criticality summary completed within 90 days of application;
- A psychological evaluation with the IQ range of the applicant (IQ score below 70 documented by a standardized
intelligence test) including a review of all past intellectual assessments and IQ scores;
- Documentation that the applicant has challenges with adaptive functioning (significant limitations in the
applicant’s effectiveness in meeting the standards of maturation, learning, personal independence, and/or social
responsibility that are expected for his/her age level and cultural group, as determined by clinical assessment,
and usually, standardized scales) such as the ICAP (Inventory for Client and Agency Planning);
- When there is cause to question the ICAP score, an additional clinical adaptive functioning assessment and
other documentation may be requested;
- Documentation that the applicant’s level of adaptive and intellectual functioning occurred prior to the age
of 18 (developmental history).
3) The 310 agency will submit the completed informational packet for review to the regional community services
office that serves the applicant’s county and, if approved, the applicant’s name will be placed on the waiting list.
ADMH will make a determination of eligibility within 30 days of the receipt of the completed application.
Note: the date of application, is the day a completed packet is received at the regional
community services office.
Q. If I am eligible for services, is there an age
A. No. The only requirement is that the intellectual
disability occurred prior to the age of 18 years.
Q. If my child is two years old or under, what
services can I expect to obtain?
Intervention Program is operated under
the auspices of the Alabama Department of Rehabilitation
Services, with other agencies such as ADMH and the
of Education being involved in providing
services/supports. You may contact any of these agencies to
determine services/supports that are available in your
Q. Does the state of Alabama operate residential
homes located in my community?
A. The state does not directly operate residential
homes in the community. However, the ADMH contracts with
community agencies to provide residential and day
habilitation services or work programs for individuals
who meet criteria for services. These residential
arrangements and programs are located throughout
Alabama. You may obtain specific information
available services from the
or the regional community services office serving your
Q. Does the ADMH provide services in a family home?
A. Yes, but through contract with 310 agencies. If
the individual with the disability meets service
criteria, the 310 agency will discuss in-home supports
that may be provided to the individual and their family.
Services/supports are accessed through the
Q. How are services paid for?
A. There are a variety of funding sources to provide services
to individuals with intellectual disabilities. These may include
private pay, state funding, or a combination of state and
federal funding. However, the individual must meet financial
criteria for federal funds to be used for services. For persons
who qualify based on age criteria, a cooperative funding
arrangement may be made among agencies such as the ADMH, the
Alabama Department of Education,
Alabama Department of Human Resources, the
Department of Rehabilitation Services, etc. The 310
agency or the regional community services office will
assist to identify funding sources for which the
Q. Who should I call if there are problems or
concerns with the services I receive?
A. The best person to discuss your concerns with is
the individual's case coordinator. If your concerns are
not adequately addressed, you should talk to an employee
of the 310 Agency that supervises the services or to an
employee in the regional community services office.
Q. When my child turns 19 years old, why do I have
to be legally appointed their guardian when I am still
A. Many parents assume that their parental rights
continue as long as they are the primary caregivers for
their child, even when they turn 19 and are considered
to be an adult. In order to be considered a legal
guardian, the family would have to petition the local
probate court to be appointed to make decisions on
behalf of their child if the child is unable
(incapacitated) to make or express decisions for
themselves. There should be options of being appointed
as a full guardian (making all decisions on behalf of
your child), or as a limited guardian (making decisions
in only the life areas in which the person cannot make
or express those decisions for themselves such as major
medical decisions, assistance with managing large sums
of monies, etc.). Regardless of the level of
guardianship, the appointed guardian should always
respect the opinions and choices of the incapacitated
individual to the degree that the individual can express
Q. If services or supports are denied, what are my
rights to appeal?
A. The appeal process — begins with a written request from the applicant, either to the
Division of Developmental Disabilities or to the
Alabama Medicaid Agency, with specific timelines
involved for each. If the applicant appeals first to the
Division of Developmental Disabilities, he or she will be entitled to a review by the
Associate Commissioner, who will produce a written determination. If the individual is dissatisfied with that
determination, he/she has the right to appeal to the
Alabama Medicaid Agency. The notification fully
explains the process of appeal to both agencies.
Note: the applicant is not required to appeal first to the Division of Developmental Disabilities
but may appeal initially to the Alabama Medicaid Agency.
Q. What do I have to do to start and operate a
home(s) for individuals with intellectual disabilities?
A. Contact the ADMH Office of Certification Administration at 334-242-3937, to
obtain instructions and information.
Q. What is self-advocacy?
A. A self-advocate is a person with a disability who
speaks for themselves on their wants, desires, and
choices in life. There are organized chapters of
self-advocates that you can join to have a stronger
voice in making your wishes and desires known and for
society to be responsive to your needs and opinions. You
may contact the Division of Developmental Disabilities'
of Self-Advocacy at 334-353-7032, for more
Q. Can an individual with an intellectual disability vote?
A. If they have not been legally, through a probate
court of jurisdiction, declared incapacitated (unable to
make decisions for themselves), they have all their
rights and may vote just as any other citizen.