Alabama
Alabama programs that pay family caregivers
Alabama pays family members through 4 Medicaid programs. Each has its own rules for who qualifies, who can be paid and what it pays.
Who do you care for?
Personal Choices
Personal Choices is Alabama Medicaid's self-directed option for people already enrolled in a home and community-based waiver. Instead of getting care from an agency, the participant gets a monthly budget and uses it to hire their own caregiver, which can be a family member. A financial management services agency runs payroll, taxes and background checks.
$2,320/month
How it works →Elderly and Disabled (E&D) Waiver
The E&D Waiver is a Medicaid 1915(c) waiver that pays for in-home care for older adults and people with disabilities who would otherwise need a nursing home. Services usually come through agencies, but members can switch to Personal Choices and use their budget to hire a family member. It is run by the Alabama Department of Senior Services with the Alabama Medicaid Agency.
$2,320/month
How it works →Alabama Community Transition (ACT) Waiver
The ACT Waiver helps people with disabilities or long-term illnesses move out of a nursing home or other institution and back home. It pays for transition help and ongoing home care. Members can choose Personal Choices to hire their own caregiver, including a family member.
$2,320/month
How it works →State of Alabama Independent Living (SAIL) Waiver
The SAIL Waiver serves adults with serious physical disabilities who need nursing-home-level care but want to stay home. It is run by the Alabama Department of Rehabilitation Services. Personal care comes through approved agencies, and secondary sources say members can self-direct through Personal Choices, where adult children or a spouse may be hired in some cases.
$2,320/month
How it works →The overview: the Alabama caregiver program · Alabama caregiver pay · spouse rules
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Across the line
States that border Alabama
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.