Services

Case Management

Alabama Select Network is responsible for helping coordinate and manage your needs. You will be assigned a Case Manager that will help you every step of the way. They will be your primary contact person and the first person you should call if you have questions about your services. Your Case Manager will visit you in person to complete a face-to-face visit to help you qualify for long-term services and supports. Your Case Manager will work with you to complete a Care Plan that lists the service types and amount you need. After you are enrolled in the Integrated Care Network, your Case Manager will visit you each month, and when you need additional assistance.

Case Management and Medical Case Management services assist you in managing your health. ASN provides disease education, medication review and case management support to help you manage your chronic condition, medical, and long-term service and support needs.

Case Managers will also:

  • Work with you to ensure that you have all the information you need to make good choices about your health care.
  • Help you get the right kind of long-term services and supports in the right setting for you to address your needs.
  • Coordinate all of your physical health, mental health, and long-term services and supports needs.
  • Help to solve issues that you have about your care.
  • Make sure that your Care Plan is followed and is working the way that it needs to.
  • Be aware of your needs as they change, update your Care Plan (at least every 6 months, and as needed), and make sure that the services you get are appropriate for your changing needs.
  • Check at least once a year to make sure that you continue to need the level of care provided in a nursing home.
  • Communicate with your providers to make sure they know what’s happening with your health care, and to coordinate your service delivery.

Man and Woman at French Door

Home and Community Based Service Waivers

The services you may be able to receive in the ICN depend on your needs, the waiver you are enrolled in, and where you receive your services. Some services have limits. That means that the Alabama Medicaid Agency will pay for only a certain amount of these services. The kind and amount of care you get depends on your needs. Your Case Manager will help you with the process of determining the level of services you need and the application process.

Elderly and Disabled Waiver (E&D)

The E&D Waiver provides services to members who are older or who have physical disabilities and who live at home or with a loved one. These services are available in the E&D Waiver.

  • Case Management – Your Case Manager will facilitate in getting you the care you need to remain safely in your home. Your Case Manager will visit you in your home and help you create a Care Plan. The Care Plan will include what kinds of services you need. A Case Manager will visit you in your home one (1) time a month, and when you need additional assistance.
  • Personal Care – Assists you with your daily activities such as bathing, dressing and eating.
  • Homemaker Services – Provides help with light housekeeping to keep your home safe and clean, such as washing your dishes, cleaning your room, and washing your clothes.
  • Adult Companion Services – Helps with daily activities and additional support or supervision.
  • Adult Day Health Care – Provides a place you can go for several hours during the day to get services and participate in activities. The Adult Day Health Care center provides transportation if you need it.
  • Skilled/Unskilled Respite – This service allows your caregiver to get some rest.
  • Home Delivered Meals –Nutritional meals that are delivered to your home. You can get either seven (7) frozen meals, or 14 frozen meals per week. You can also get two (2) shelf-stable meals for emergencies. The shelf-stable meals cannot be more than six (6) meals in a six (6) month period.

Alabama Community Transition Waiver (ACT)

The ACT Waiver provides services to members with long-term illnesses or physical disabilities that live in a nursing home, but want to move back to their home or a loved one’s home. The ACT Waiver also provides you the ability to direct your own care by choosing the people you want to provide your care.

  • Transitioning from a Nursing Home – If you’re in a nursing home, you may be able move from your nursing home to your own home and receive services if you want to. If you’re interested in moving out of the nursing home into the community, talk with your Case Manager to see if you are eligible for home services. There is a special program that can help you transition, called Gateway to Community Living (GCL).
  • What if you don’t want to leave the nursing home and move to the community? Alabama Select Network won’t make you, even if we think care in the community would cost less. As long as you qualify for nursing home care, you can choose to receive it. You can change your choice at any time as long as you qualify and can enroll to receive care in the setting you pick.

These services are available in the ACT Waiver:

  • Case Management – Your Case Manager will help you get the care you need to remain safely in your home. Your Case Manager will visit you in your home and help you create a Care Plan. The Care Plan will include what kinds of services you need. A Case Manager will visit you in your home one (1) time a month, and when you need additional assistance.
  • Transitional Assistance Services – Assists members who want to move from a Nursing Home to their own home with things like deposits, buying household items, and moving expenses. This is limited to $3,500 per member.
  • Personal Care – Aids you in your daily activities such as bathing, dressing, and eating.
  • Homemaker Services – Helps with light housekeeping to keep your home safe and clean, such as washing your dishes, cleaning your room, and washing your clothes.
  • Adult Day Health Care – Provides a place you can go for several hours during the day to get services and participate in activities. The Adult Day Health Care center offers transportation if you need it.
  • Home Delivered Meals –Nutritional meals that are delivered to your home. You can get either seven (7) frozen meals, or 14 frozen meals per week. You can also get two (2) shelf-stable meals for emergencies. The shelf-stable meals cannot be more than six (6) meals in a six (6) month period.
  • Skilled/Unskilled Respite – This service allows your caregiver to get some rest.
  • Skilled Nursing – Offered to members who need observation and nursing services that can only be provided by a Nurse.
  • Adult Companion Services – Helps with daily activities and additional support or supervision.
  • Home Modification – Minor revisions to your home to help you stay safely in your home. This includes items such as wheelchair ramps, grab-bars, and door-widenings. This is limited to $5,000 per member.
  • Assistive Technology –Items that help you with your daily activities, and live safely in your home. This is limited to $15,000 per member.
  • Personal Emergency Response Systems (PERS) – Installation and Monthly Fee – A device that you wear around your neck and can push to call for emergency help. An example of when you could use the PERS is if you have fallen and need help getting up.
  • Medical Equipment Supplies and Appliances –Items that help you with your daily activities, live safely in your home, and prevent you from getting things such as bedsores. This is limited to $1,800 per member, per year.
  • Personal Assistance Services (PAS) – Helps members with physical disabilities perform activities on their job. This is limited to 40 hours per month.

Personal Choices

You can choose to hire someone to help with your care or you can save money for equipment purchases. Financial counselors help you create a budget and manage your money.

Personal Choices is available in the E&D and ACT Waivers. These are services available through Personal Choices:

  • Unskilled Respite
  • Homemaker
  • Personal Care
  • Companion Services

Nursing Home Services

A nursing home is a place where you live that provides you with the level of care you need. That could include health care, assistance with daily activities, nursing care, and rehabilitation.