Home and Community-Based Waiver

MISSION: To enhance the quality of life by providing service(s) to individuals with severe disabilities allowing for the achievement of maximum independence in the home environment.

Since its creation in 1992, the SAIL Home and Community Based Waiver has provided services to hundreds of individuals with the most severe individuals allowing them to avoid institutional placement through the provision of in-home services.


To be eligible, an individual must:

  • meet the nursing home level of care criteria
  • meet the Alabama Medicaid Agency financial eligibility
  • at least 18 years of age
  • the onset of disability must have occurred prior to age 60
  • disabled for reasons other than aging


  • Case management
  • Personal care
  • Prescribed assistive technology
  • Prescribed medical supplies
  • Personal Emergency Response System (PERS)
  • Environmental modifications
  • Prescribed minor assistive technology
  • Personal assistant services (for those employed at least 40 hours per month)
  • Service coordination
  • Referral services