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:

• Add supervisory visits
• Increase the yearly limit on medical supplies.

A copy of the proposed action can be accessed at State of Alabama Independent Living (SAIL) Waiver on the Alabama Medicaid website. Hard copies of the application are posted for review inside Alabama Medicaid District Offices and ADRS Regional SAIL Offices.

Written comments on the proposed action must be submitted to the agency by July 25, 2025. Via mail to:

Alabama Medicaid Agency

ATTN: LTC Healthcare Reform Division, HCBS Clinical Unit

P.O. Box 5624

Montgomery, Alabama 36103-5624
 

or via email to PublicComment@medicaid.alabama.gov.