May 29, 2020

State of Alabama
Press Release: Medicaid

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

PDF Version

TO:  All Providers


Pursuant to 42 C.F.R. § 431.408, the Alabama Medicaid Agency (Medicaid) notifies the public that it intends 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 operates Medicaid-funded long-term services and supports 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 opened a formal comment period. Written comments concerning the 1115 Demonstration proposal will be accepted starting March 6, 2020 and are due June 24, 2020. A copy of the draft Demonstration proposal is 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 at the following link:

Send comments regarding the Demonstration 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 preceding address.


Medicaid previously scheduled two opportunities for public comment; however, those meetings were canceled due to the Coronavirus Disease (COVID-19) national health emergency. Medicaid has now rescheduled these meetings. In order to adhere to the governor’s orders regarding social distancing and based on guidance from CMS, these meetings will be conducted via teleconference.


Two opportunities for public comment will be held on the following dates:

June 9, 2020 1:00 p.m.

Join online:
Meeting number (access code): 286 627 576; Meeting password: Medicaid1
Join by phone:  +1-415-655-0001 US Toll
Meeting number (access code): 286 627 576#; Attendee number: enter #

June 10, 2020 10:00 a.m.

Join online:
Meeting number (access code): 284 463 191; Meeting password: Medicaid1
Join by phone:  +1-415-655-0001 US Toll
Meeting number (access code): 284 463 191; Attendee number: enter #

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