DAY REHABILITATION SERVICES PROVIDER IN ALABAMA

SUPPORTING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN COMMUNITY-BASED PROGRAM SETTINGS

Day Rehabilitation Services in Alabama are designed to support individuals with intellectual and developmental disabilities (IDD) by providing structured, goal-oriented services during daytime hours in community-based settings. These services promote independence, community integration, skill development, and overall quality of life. Day Rehabilitation Services are authorized under Alabama’s Home and Community-Based Services (HCBS) Medicaid Waivers and follow protocols established by the Alabama 

 

 

1. GOVERNING AGENCIES Department of Mental Health (ADMH).
Agency: Alabama Department of Mental Health (ADMH)
Role: Approves providers, monitors program quality, and sets service standards under HCBS waivers

Agency: Alabama Medicaid Agency
Role: Manages Medicaid provider enrollment and reimbursement for Day Rehabilitation Services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure compliance with HCBS waiver guidelines

 

2. DAY REHABILITATION SERVICE OVERVIEW
Day Rehabilitation Services are habilitative in nature and aim to support individuals in achieving or maintaining skills related to daily living, community participation, and personal growth. Services may include:

• Individualized skill-building and therapeutic activities

• Support with activities of daily living (ADLs)

• Socialization and community engagement opportunities

• Self-advocacy and communication development

• Transportation to and from the day program site

• Health and safety monitoring during service hours

All activities are based on the individual’s person-centered plan and must align with their goals and preferences.

 

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:

• Register business with the Alabama Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Secure a licensed Day Habilitation facility per ADMH requirements

• Demonstrate compliance with fire, health, and accessibility codes

• Establish capacity to deliver individualized, goal-based programming

• Implement staff training and supervision protocols

 

4. ADMH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:

• Request Day Rehabilitation Provider Application Packet from ADMH

• Submit a business plan, staffing structure, and daily programming model

• Include health and safety protocols, emergency procedures, and client support strategies

Background & Credentialing:

• Criminal background checks for all staff

• Verification of staff qualifications and experience

• Drug screening and documentation of staff training

Program Readiness Review:

• Site inspection and review of physical environment

• Evaluation of daily schedules, curriculum plans, and safety systems

• Review of individual documentation and progress tracking systems

Approval & Medicaid Enrollment:

• Once approved by ADMH, complete enrollment with Alabama Medicaid as a Day Rehabilitation Services provider

• Add correct service codes and units for billing

 

 

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or LLC Certificate

• IRS EIN Letter

• NPI confirmation

• Facility lease or proof of ownership

• Fire Marshal and Health Department clearance

• ADMH-Compliant Policy & Procedure Manual including:

  • Participant rights and complaint procedures

  • Health, emergency, and medication protocols

  • Staffing qualifications and supervision

  • Daily program structure and activity documentation

  • Confidentiality and abuse prevention

• Attendance logs and progress notes

• Signed individual service plans and consents

 

6. STAFFING REQUIREMENTS
Role: Program Director
Requirements: Experience in developmental disability services, program management, and compliance

Role: Day Program Instructors/Facilitators
Requirements: High school diploma or higher; training in ADLs, behavior support, and client documentation

Role: Support Staff (optional based on need)
Requirements: Must complete ADMH training, including CPR, First Aid, confidentiality, and rights training

All staff must complete:

• ADMH orientation and HCBS Waiver training

• Annual ethics, abuse prevention, and documentation training

• Person-centered planning and behavior support modules

 

7. MEDICAID WAIVER SERVICES
The following Alabama Medicaid Waivers authorize Day Rehabilitation Services:

• ID Waiver (Intellectual Disabilities Waiver)

• LAH Waiver (Living at Home Waiver)

• State of Alabama Community Waiver Program

Approved providers may deliver:

• Goal-based day services in a structured setting

• Community integration and transportation

• Health and safety support during program hours

• Individual documentation of participation and progress

 

8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 0–1 week

Phase: ADMH Application Review
Timeline: 60–90 days

Phase: Facility Licensing and Program Readiness
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

 

9. CONTACT INFORMATION
Alabama Department of Mental Health (ADMH) – Division of Developmental Disabilities
Email: ddprovider@mh.alabama.gov
Phone: (334) 242-3702
Website: https://mh.alabama.gov

Alabama Medicaid Agency – Waiver Services

Website: https://medicaid.alabama.gov

 

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ALABAMA DAY REHABILITATION SERVICES PROVIDER
We assist new providers in launching Day Rehabilitation Services under Alabama’s HCBS waiver programs.

 

Scope of Work:

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• Business formation (LLC, EIN, NPI)

• Facility compliance and site preparation

• ADMH provider application and documentation setup

• Development of Day Program Policy & Procedure Manual

• Staff onboarding materials and training plans

• Medicaid enrollment and billing code configuration

• Daily schedule templates, attendance forms, and progress logs

• WEBSITE, DOMAIN, AND EMAIL SETUP

• CLIENT ADMISSION PACKET

• MARKETING AND ADVERTISING MATERIALS

• OPERATIONAL TRAINING

• COMPLIANCE AND REGULATORY SUPPORT

• QUALITY ASSURANCE PROGRAMS

• MARKETING AND CLIENT ACQUISITION STRATEGIES