The Medicaid Waiver Programs operated by the Area Agency on Aging are funded by the Alabama Medicaid Agency and are provided at no cost to clients meeting financial and medical eligibility requirements. Services can be provided through traditional service providers, or through self-direction under the Personal Choices option.

To be eligible, applicants must be receiving full Medicaid benefits or may become eligible through Medicaid deeming. Individuals may be deemed eligible for Medicaid if their incomes do not exceed 300% of the federal poverty level and they have limited assets. If you do not have full Medicaid benefits, additional financial information and a Medicaid application will be required. In addition, applicants must demonstrate a degree of disability and frailty that might otherwise require long-term care placement. This determination must be made by a physician. For more detailed information about the following programs, visit


Elderly and Disabled (E&D)

The Medicaid Waiver for the Elderly and Disabled Program is designed to provide services to seniors and the disabled whose needs would otherwise require them to live in a nursing home. Our goal is for clients to retain their independence by providing services that allow them to live safely in their own home and communities they love for as long as it is appropriate.

Case managers work with clients to develop a care-based plan according to the clients’ medical needs.  Depending upon their plan of care, individuals in this program may receive personal care, homemaker, respite, adult day care, companion services, or home-delivered frozen meals.

PERSONAL CHOICES Self-Directed Services

This is an optional way to receive services under the Medicaid Waiver Program to expand consumer direction. This means the consumer decides who provides their care, when the care is needed, what help they need and how much responsibility they want. Consumers work with agency staff to develop a budget based on assessed need and hire and manage their support workers.

Alabama Community Transition (ACT)

This program is designed to allow individuals who live in a nursing facility to move back home or to another community setting with support from a case manager and home and community based services.  More information can be obtained by visiting the Gateway to the Community page at

The Technical Assisted Waiver (TA)

This program is designed to allow adults who are ventilator dependent or who have a tracheostomy, and who would otherwise require care in a nursing facility, to remain in the community. Services are based on the individual’s needs.

For more information, contact our Aging and Disability Resource Center