Systems Management and Waivers

The Office of Systems Management was established to oversee and promote the development and use of the Alabama Division of Intellectual Disabilities Services Information System (ADIDIS) within the division and community providers. ADIDIS provides more efficient tracking of billing, ensures compliance with contracts and standards, and provides valuable data for future planning. ADIDIS also provides technical assistance to support division action on a wide range of topics including the waiting list, outcomes measurement and supportive employment for consumers. In addition, ADIDIS manages the coordination of child and adolescent services.


This office is provides information related to waivers which ADMH assists in facilitating and is also responsible for the renewal of the ID and LAH waivers and any needed amendments.


By 2022, the Alabama Department of Mental Health, 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. To learn more, please visit the HCBS page.

Public Comment Sought for Waiver Applications

Update: The previously scheduled opportunities for public comment on the 1115 proposal will be postponed due to the COVID-19 state of emergency. We will provide information about the rescheduled dates as soon as possible. The written comment period is currently open and will be extended to a time period after the public comment events occur.

Please visit the link to view the application and make comment by following the instructions.

Public Notice for the Section 1115, 1915c applications are now available on the Alabama Medicaid website.

Written comments regarding the proposed waiver are welcome and should be sent by mail to Administrative Secretary, Alabama Medicaid Agency, 501 Dexter Ave,  P.O. Box 5624, Montgomery, Alabama 36103-5624 or via e-mail to

Pursuant to 42 C.F.R. § 431.408, the Alabama Medicaid Agency (Alabama Medicaid) notifies the public that it intends to submit a Section 1115 Demonstration proposal to the Centers for Medicare and Medicaid Services (CMS). A copy of the Demonstration proposal will be available upon request for public review at each county office of the Department of Human Resources, the State Office of the Alabama Department of Mental Health, and the State Office of the Alabama Medicaid Agency.