Pursuant to 42 CFR 441.304(f), the Alabama Medicaid Agency (Medicaid) is required to give public notice of its intent to submit a proposed Community Waiver Program (CWP) amendment to the Centers for Medicare and Medicaid Services (CMS). The CWP provides Home and Community-Based Services (HCBS) to individuals (ages 3+) who, but for the provision of such services, would require Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care as defined in 42 CFR §440.150. This request to amend the specified Waiver will not have a negative impact on Medicaid recipients.
The purpose of this amendment is to:
- Revise the unduplicated count of waiver participants for Waiver Year 5 to reflect actual waiver enrollments and updates to resources the State has available to further expand capacity;
- Increase reserve capacity to reflect increased need for reserve slots for outplacements from nursing homes and other institutions, emergencies and children in state custody;
- Change the total number of contracted Financial Management Services Agencies (FMSAs) for self-direction from two to one;
- Update numerical figures for Waiver Year 5 to reflect the revised unduplicated count.
The thirty (30) day public comment period will begin on August 15, 2026 and conclude on September 15, 2026, at 5:00 p.m. CST. Comment letters must be postmarked by the conclusion date to be accepted. Written comments concerning these changes should be emailed to:
Alabama Medicaid Agency
Attn: LTC Healthcare Reform Development Division, Specialized Waiver Unit
501 Dexter Avenue, P.O. Box 5624
Montgomery, Alabama 36103-5624
Upon request, a hard copy of this public notice and the proposed amended waiver application can be made available for public review at Medicaid’s Central Office and District Office locations. Please note that public comments submitted in response to this notice are considered public documents and can be shared on the Alabama Medicaid website.
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