Alabama offers three ways to get paid as a family caregiver.

1. Alabama Elderly and Disabled Waiver: Designed to allow elderly and/or disabled individuals who would otherwise require care in a nursing facility to remain at home. Services range from adult day care and respite services to meal deliveries. 

Program Requirements

• • MUST be Alabama resident
  • MUST be 65+ or disabled 
  • MUST require nursing facility level of care 
  • MUST be Medicaid eligible 
  • Spouses are not eligible

Contact Number: 1-877-425-2243 (Alabama Area Agency on Aging)

2. Alabama Personal Choices Program: Allows care recipients to choose their caregivers and provides a monthly stipend to hire help and pay for other care expenses.

Program Requirements

• • MUST be Alabama resident
  • MUST require nursing facility level of care 
  • MUST be Medicaid eligible 
  • MUST be; receiving personal assistance services under the SAIL Waiver or Elderly and Disabled Waiver
  • Spouses are not eligible

Contact Number: 1-877-425-2243 (Alabama Area Agency on Aging)

3. State of Alabama Independent Living Medicaid Waiver (SAIL): Enables disabled adults who would otherwise require care in a nursing facility to remain at home. Services range from helping pay for environmental accessibility adaptations and medical supplies to unskilled respite care. 

Program Requirements

• • MUST be Alabama resident
  • MUST be 18+ and disabled 
  • MUST require nursing facility level of care 
  • MUST be Medicaid eligible 
  • Spouses, Parents and Children are not eligible

Contact Number: 800-441-7607 (toll free) 334-293-7500 (Department of Rehabilitative Services)