How to apply for Elderly and Disabled (E&D) Medicaid Waiver — care at home instead of a nursing home

Alabama Department of Senior Services (operating agency) and Alabama Medicaid Agency

Who it's for

The Elderly and Disabled Waiver helps older adults and people with disabilities who are at risk of nursing home placement get care at home instead. A case manager works with you on a care plan. Depending on the plan, services can include personal care, homemaker help, respite for caregivers, adult day health, companion services, and home-delivered frozen meals. For 2026, the income limit is $2,982 a month and the resource limit is $2,000. You must have Medicaid or meet its financial rules and qualify medically. Call 1-800-AGE-LINE (1-800-243-5463) to reach your local Area Agency on Aging.

Requires a nursing-facility level of care decided by a medical assessment, plus Medicaid financial eligibility. The $2,982 income and $2,000 resource limits apply to the applicant. Services depend on an individual care plan and available waiver slots. Alabama Medicaid makes the final decision.

People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.

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What you'll need

  • Medicaid application for home and community-based waiver programs
  • Medical level-of-care assessment
  • Proof of income and resources

Where to apply

Apply online: official application

By phone: 1-800-243-5463

What to say when you call

"Hello, I'm calling to ask about Elderly and Disabled (E&D) Medicaid Waiver — care at home instead of a nursing home. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need medicaid application for home and community-based waiver programs, medical level-of-care assessment, proof of income and resources — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual reassessment

Official source →Last verified · September 27, 2026

Not sure if you qualify? Run a free check first.

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Not legal or financial advice. The agency makes the final eligibility decision.