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 are given in the ICN depend on your needs, the waiver you have, 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.

Alabama Community Transition (ACT) Waiver and The Eldery & Disabled (E&D) Waiver

The ACT Waiver provides services to members with long-term illnesses or physical disabilities who live in a nursing home and who want to move back into their home or the home of a loved one. This service would include transition assistance.

The E&D waiver provides services to those who have physical disabilities and who live at home or with a loved one.

Both the ACT and E&D Waiver offer services, for those who qualify, and both provide you with the ability to direct your own care.

  • Case Management – Your Waiver Case Manager will visit you in the home at least one time a month and help you get the care you need to remain safely in your home.
  • Personal Care – A person to help with your daily activities such as bathing, dressing, and eating.
  • Homemaker Services – A person to help with light housekeeping to keep your home safe and clean. Services may include dish washing, room cleaning, and your laundry.
  • Adult Day Health Care – A place to go for supervised activities. An Adult Day Health Care center sometimes provides transportation.
  • Home Delivered Meals – Healthy meals that are brought to your home.
  • Skilled/Unskilled Respite – This service allows your caregiver to take personal time away.
  • Skilled Nursing – Available for members who need nursing services.
  • Adult Companion Services – Companions to help you 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-widening.
  • Assistive Technology – Items that help you with your daily activities and live safely in your home. These would include things like canes, voice-activated devices, dressing aids, etc.
  • 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.
  • 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.
  • Personal Assistance Services (PAS) – Helps members with physical disabilities perform activities on their job. This is limited to 40 hours per month.
  • Pest Control – Available in some instances.

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.