Alabama Medicaid Seeks Public Comments on Home and Community-Based Settings Waivers
The Alabama Medicaid Agency (Medicaid) is seeking public comments on the proposed amendments to the Alabama Home and Community Based Services (HCBS), Intellectual Disabilities (ID) Waiver and the Living at Home (LAH) Waiver for persons with Intellectual Disabilities. These Waivers provide HCBS to individuals who, but for the provision of such services, would require Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care as defined in 42 CFR §440.150.
Medicaid is the Administering Agency, and the Alabama Department of Mental Health Division of Developmental Disabilities (ADMH/DDD) is the Operating Agency.
An electronic version of the LAH Waiver proposal draft is located at https://medicaid.alabama.gov/content/6.0_LTC_Waivers/6.1_HCBS_Waivers/6.1.4_Live_at_Home_Waiver.aspx
An electronic version of the ID Waiver proposal draft is located https://medicaid.alabama.gov/content/6.0_LTC_Waivers/6.1_HCBS_Waivers/6.1.5_ID_Waiver.aspx
A hard copy of the proposed changes will be made available upon request for public review at each county office of the Department of Human Resources, Medicaid District Offices and the State Office of the Alabama Medicaid Agency.
Written comments concerning these changes are welcomed and should be e-mailed to publiccomment@medicaid.alabama.gov.
The Home and Community-Based Settings (HCBS) Standards are designed to improve HCBS programs by ensuring the quality of Home and Community-Based Services; provide rights protections for participants, maximize opportunities for individuals to have full access to the benefits of community living, and ensure individuals can receive services in the most integrated setting. HCBS programs serve a variety of targeted populations, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses.
By 2022, the Alabama Department of Mental Health's Division of Developmental Disabilities along with Alabama Medicaid, is required to fully implement the Home and Community-Based Settings Rule. The final Home and Community-Based Services regulations set forth new requirements under which states may provide home and community-based long-term services and supports. The regulations enhance the quality of HCBS and provide additional protections to individuals that receive services under Medicaid authorities.
Documents
Monitoring Review Checklist for Providers
Quality Improvement Plan Attachments
CMS Home and Community Based Setting Rule Implementation March 2023 and Beyond
HCBS Advocacy Compliance Review Plan June 2022
HCBS Quality Improvement Plan June 2022
HCBS Quality Improvement Plan May 2022
DD Stakeholder Transition Plan Task Force Meeting Summaries
HCBS Modifications Training for ID Waiver
HCBS Rights Modification Addendum ID Waiver Residential Service Recipients
ID Waiver HCBS Modification Decision - Making Tree
Medicaid HCBS Settings Rule-HCBS Modifications - Training for ID Waiver Support Coordinators & Providers
Pathway to Change - HCBS Progress in FY20
Alabama 1115 ID Demonstration Waiver Concept Paper
Statewide Stakeholder Engagement Round 2
Residential and Non-Residential Setting Assessment Tools
Residential and Non-Residential Setting Validation Tools
HCBS Resources
Alabama Medicaid Home & Community-Based Waiver Services
Alabama Statewide Transition Plan
CMS.gov
HCBSAlabama.org
Medicaid.gov
HCBS Advocacy Coalition: What You Should Know about the Home & Community Based Services Settings Rules
HCBS Provider Toolkit
Video: HCBS video playlist - Council on Quality and Leadership (CQL)
Video: Employment & Community First CHOICES - TennCare Connect
Video: Building an Inclusive Community
Video: Tools of the Trade: HCBS and You