Alabama Administrative Code › Title 560 - ALABAMA MEDICAID AGENCY › Chapter 560-X-43 - HOME AND COMMUNITY-BASED SERVICES COMMUNITY WAIVER PROGRAM (CWP) FOR PERSONS WITH INTELLECTUAL DISABILITIES › Section 560-X-43-.01 - Authority And Purpose

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Home
			 and Community-Based Services (HCBS) for persons with intellectual disabilities
			 are provided by the Alabama Medicaid Agency to persons who are
			 Medicaid-eligible under the Home and Community-Based Services Community Waiver
			 Program (CWP) for Persons with Intellectual Disabilities requirements and who
			 would, but for the provision of such HCBS, require the level of care available
			 in an intermediate care facility for individuals with intellectual disabilities
			 (ICF/IID). These HCBS are provided through a Medicaid waiver under provisions
			 of the Omnibus Budget Reconciliation Act of 1981, which added Section 1915(c)
			 to the Social Security Act for an initial period of three years and renewal
			 periods of five years.
(2) The HCBS
			 covered in the CWP Waiver are Breaks and Opportunities (Respite) Services,
			 Community-Based Residential Services, Integrated Employment Path Services,
			 Personal Assistance-Home Services, Support Coordination Services, Adult Family
			 Home Services, Assistive Technology and Adaptive Aids Services, Co-Worker
			 Supports Services, Community Integration Connections and Skills Training
			 Services, Community Transportation Services, Family Empowerment and Systems
			 Navigation Counseling Services, Financial Literacy Services, Housing Counseling
			 Services, Housing Start-Up Assistance Services, Independent Living Skills
			 Training Services, Individual Directed Goods and Services, Minor Home
			 Modifications Services, Natural Support or Caregiver Education and Training
			 Services, Occupational Therapy Services, Peer Specialist Services, Personal
			 Assistance-Community Services, Physical Therapy Services, Positive Behavioral
			 Supports Services, Remote Supports Services, Skilled Nursing Services, Speech
			 and Language Therapy Services, Supported Employment Individual Services,
			 Supported Employment Small Group Services, Supported Living Services. These
			 HCBS, provided through a Medicaid 1115 waiver, provide assistance necessary to
			 ensure optimal functioning of individuals with intellectual
			 disabilities.
(3) The CWP Waiver is
			 administered with a cooperative effort between the Alabama Medicaid Agency and
			 the Alabama Department of Mental Health. The HCBS under the CWP Waiver are
			 limited to individuals with a diagnosis of an intellectual disability, age 3
			 and above.
(4) Home and
			 Community-Based Services for the CWP Waiver are provided in compliance with the
			 provisions of the HCBS Settings Final Rule (CMS 2249-F/2296-F). These
			 provisions require the following:
(a) Services
			 may be provided in settings that:
1. Are
			 integrated in and support full access to the greater community, including
			 opportunities to seek employment and work in competitive integrated settings,
			 engage in community life, control personal resources, and receive services in
			 the community, to the same degree of access as individuals not receiving
			 Medicaid HCBS;
2. Are selected by
			 the individual from among setting options;
3. Ensure individual rights of privacy,
			 dignity and respect, and freedom from coercion and restraint;
4. Optimize automony and independence in
			 making life choices including, but not limited to, dailctivities, physicial
			 environment, and with whom to interact;
5. Facilitate choice regarding services and
			 who provides them.