The Elderly and Disabled Waiver program provides home and community-based services to the elderly and individuals with disabilities at risk for nursing facility placement. Case managers work alongside participants to develop individualized care plans. Participants in this program may receive personal care, homemaker, respite, adult day health, companion services, and home-delivered frozen meals.

Personal Choices provides self-directed home and community-based services. It is designed to offer older adults and individuals with disabilities more choices and flexibility in the type of care they receive. Participants enrolled in the program may use their allotted budgets to receive the care they need. Participants can also appoint family or friends to provide their care. They can also save for other items that support and enhance their health.

Gateway supports individuals who wish to transition from an institutional setting to community living. A transition coordinator works alongside the applicant to ensure a smooth transition. A variety of services is available to ensure a successful transition into the community and to provide ongoing care in the community based on the client’s medical needs.

The Alabama Community Transition (ACT) Waiver provides services to individuals with disabilities or long-term illnesses who have transitioned from a nursing facility to a home or community setting. Many services are available to ensure a successful transition into the community and provide ongoing care based on the client’s medical needs.

Gateway supports individuals who wish to transition from nursing homes and institutional settings to community living. Gateway uses the state’s existing long-term care system as a foundation, allowing individuals currently living in institutional settings to enroll in one of seven home and community-based waiver programs.

The Technology Assisted (TA) Waiver provides services to individuals age 21 or older with complex skilled medical conditions, who are ventilator-dependent or have a tracheostomy, and who would otherwise require care in a long-term care setting to instead remain in the community. The plan of care and case management services are based on individual client needs. Services include private duty nursing, personal care/attendant service, medical supplies, assistive technology, and targeted nurse case management.