Public Notice: SAIL Waiver


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December 10, 2019

 The Alabama Medicaid Agency is seeking public comments on the proposed renewal application for the State of Alabama Independent Living (SAIL) Waiver. The SAIL Waiver provides individuals with specific diagnoses and related illnesses home and community-based services in the community who would otherwise require nursing facility care. The Alabama Medicaid Agency (AMA) is the Administering Agency and the Alabama Department of Rehabilitation Services (ADRS) serves as the Operating Agency for the SAIL Waiver. 

The target population for the waiver is specific to individuals with physical disabilities not associated with the process of aging and with onset prior to age 63 and who have one of the following diseases or conditions: quadriplegia, traumatic brain injury, amyotrophic lateral sclerosis, multiple sclerosis, muscular dystrophy, spinal muscular atrophy, severe cerebral palsy, stroke, and other substantial neurological impairments, severely debilitating diseases or rare genetic diseases, e.g. Lesch-Nehon Syndrome.

The renewal application proposes to make the following changes:

  • Increase the number of unduplicated recipients from 660 to 800.
  • Increase the age of onset from "prior to age 60” to "prior to age 63."
  • Add Unskilled Respite Service.
  • Increase the yearly limit on Medical Supplies.
  • Increase the lifetime cap on Assistive Technology.
  • Increase the lifetime cap on Environmental Accessibility Adaptations.
  • The State also requests to change the wavier year from (April 1-March 31) to (October 1- September 30) to align with the State’s fiscal year.

A copy of the proposed action can be accessed at Hard copies of the application are posted for review inside Alabama Medicaid District Offices.

Written comments on the proposed action must be submitted to Monica Abron, Associate Director by January 8, 2020. Via mail to: Alabama Medicaid Agency, HCBS Administration Unit, P.O. Box 5624, Montgomery, Alabama 36103-5624 or via e-mail to