March 6, 2020

State of Alabama
Press Release: Medicaid

Notice of Intent to Submit Section 1115 Demonstration Proposal to Operate Concurrent with a New 1915(i) and 1915(c)

PDF Version

TO: All Providers

Pursuant to 42 C.F.R. § 431.408, the Alabama Medicaid Agency (Medicaid) is required to give public notice of its intent to submit a Section 1115 Demonstration proposal and an application for a new 1915(c) waiver (collectively “Demonstration”), which will operate concurrently, to the Centers for Medicare and Medicaid Services (CMS). Medicaid is seeking this Demonstration to create a new program called the “Community Waiver” program and will enable the State to provide home and community-based services (HCBS) to individuals with intellectual disabilities (ID) not currently enrolled in a waiver program.

The Community Waiver program will enable the State to serve individuals with ID in HCBS rather than in institutions, and best ensure the State is operating Medicaid-funded long-term services and supports (LTSS) for people with ID. Additionally, the Community Waiver program will fully comport with standards applicable to person-centered planning under Section 1915(c) of the Social Security Act including conflict-free case management.

As required by federal regulation, Medicaid is now opening a formal thirty (30) day comment period. A copy of the draft Demonstration proposal will also be available upon request for public review at each county office of the Department of Human Resources, the State Office of the Department of Mental Health, and the State Office of the Alabama Medicaid Agency. A copy of the draft Demonstration proposal, the full public notice, locations (with addresses) to view documents, and additional information can be found on Medicaid’s website

 Written comments concerning the 1115 Demonstration proposal will be accepted starting March 6, 2020, and are due April 7th, 2020. Send comments to the following e-mail address: or mailed hardcopy to:


Administrative Secretary

Alabama Medicaid Agency

501 Dexter Avenue

P.O. Box 5624

Montgomery, Alabama 36103-5624


All written comments will be available for review by the public during normal business hours at the above address.

Two opportunities for public comment will be held at the following locations:

March 25, 2020 at 2:00 p.m.

March 26, 2020 at 11:00 a.m.

Department of Mental Health

Region IV Office

Hoover Public Library

Fitzgerald & Shakespeare Rooms

400 Interstate Park, Suite 419

200 Municipal Drive

Montgomery, AL 36109

Hoover, AL 35216


Medicaid will provide teleconference access during the March 25, 2020, meeting at Montgomery, Alabama. To listen in to the meeting by phone, call toll free 1-415-655-0001 and enter the access code 806 395 760#.

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