Elderly and Disabled Medicaid Waiver


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.

The Medicaid Waiver Program is funded by the Social Security Act through the Alabama Department of Senior Services and the Area Agency on Aging. These services are provided at no cost to the client 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 and/or Supplemental Security Income (SSI) 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.

The following services are offered based on the care plan:

  • Case Management
  • Adult Day Care
  • Companion Service
  • Homemaker
  • Personal Care
  • Respite Care
  • Home Delivered Meals
  • Skilled Nursing (for HIV/AIDS Waiver only)


This is an optional way to receive services under the Elderly & Disabled Medicaid Waiver Program.  The goal of the Personal Choices Program is to expand consumer direction as an option in the Medicaid Waiver Program. The target population is seniors and adults with physical disabilities. The program provides consumers the option to control their own waiver services. 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 have specific responsibilities under Personal Choices including developing and following a spending plan, hiring and managing their support workers, and following their annual budget that is based on their assessed need. Medicaid Waiver case managers help families develop their plan and budget.  The program provides individuals with more flexibility, and consumers are more likely to have their needs met and be satisfied with their care. These outcomes include increased access to paid personal care services, more service options such as equipment or supply purchases, satisfaction with services, overall quality of life, meeting day-to-day needs, and decreased stress on caregivers. 

The program is available as an option to persons who are already on the Elderly and Disabled Medicaid Waiver program with the South Alabama Regional Planning Commission.

To find out more about this program please email aginginfo@sarpc.org.







Welcome Letter From The Director, Julie McGee