Alabama Administrative Code › Title 560 - ALABAMA MEDICAID AGENCY › Chapter 560-X-35 - HOME- AND COMMUNITY-BASED WAIVER FOR PERSONS WITH INTELLECTUAL DISABILITIES › Section 560-X-35-.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 Waiver for Persons with
			 Intellectual Disabilities (ID Waiver) 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
			 ID Waiver are Residential Habilitation Training Services, Supported Living
			 Services, Day Habilitation Services, Prevocational Services, Supported
			 Employment Services, Occupational Therapy Services, Speech and Language Therapy
			 Services, Physical Therapy Services, Positive Behavior Support Services,
			 Companion Services, Respite Care Services, Personal Care Services,
			 Environmental Accessibility Adaptations Services, Specialized Medical Supplies
			 Services, Skilled Nursing Services, Assisted Technology Services, Crisis
			 Intervention Services, Benefits and Career Counseling Services, Community
			 Experience Services, Housing Stabilization Services, Individual Directed Goods
			 and Services, Supported Employment Transportation Services, Personal Emergency
			 Response System Services, and Remote Support Services. These HCBS provide
			 assistance necessary to ensure optimal functioning of individuals with
			 intellectual disabilities.
(3) The
			 ID Waiver is administered with a cooperative effort between the Alabama
			 Medicaid Agency and the Alabama Department of Mental Health. The HCBS under the
			 ID Waiver are limited to individuals with a diagnosis of an intellectual
			 disability, age 3 and above.
(4)
			 Home and Community-Based Services for the ID 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 only 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 autonomy and independence in
			 making life choices including but not limited to, daily activities, physical
			 environment, and with whom to interact;
5. Facilitate choice regarding services and
			 who provides them.