Living at Home Waiver  (Since 2002)

To provide services to individuals who would 

otherwise require the level of care available 

in an ICF/IID

Target population: Individuals with a diagnosis of Intellectual 

Disabilities (ID); Individuals meeting the 

Intermediate Care Facility for Individuals 

with Intellectual Disabilities (ICF/IID) Level 

of Care; Persons not residing in a group 

home setting or environment; Persons 

currently on the waiting list for ID services.


Day Habilitation Services-Level 1-4

 Day-Habilitation Services with  Transportation – Level 1-4

Community Day Habilitation – Level 1-4

 Community Day Habilitation with 

Transportation – Level 1-4

 Prevocational Services

 Supported Employment Services 

 Individual Assessment/Discovery

 Individual Job Coach

 Individual Job Developer

 Occupational Therapy Services 

 Speech and Language Therapy Services

 Physical Therapy Services

 Positive Behavior Support Services - Level 1-3

 In-Home Respite Care

 Out-of-Home Respite Care

 Personal Care Services

 Personal Care on Worksite Services

 Personal Care Transportation Services

 Environmental Accessibility Adaptations Services

Assistive Technology

Specialized Medical Supplies Services

Skilled Nursing Services

Adult Companion Services

Crisis Intervention Services

Individual Directed Goods and Services

Benefits Counseling Services

Benefits Reporting Assistance Services

Community Experience Services

Housing Stabilization Services

Assistance in Community Integration services

Personal Emergency Response System Services

Supported Employment Transportation Services

Remote Supports


  •  SSI recipients 
  • Federal or State Adoption Subsidy Individuals
  •  SSI related protected groups deemed to be eligible for SSI / Medicaid 
  •  Low Income Families with Children 
  •  Special HCBS waiver disabled individuals whose income is not greater than 300% of the SSI

Age requirement,  3 years and older

How to apply

 Alabama Department of Mental Health