24/7 Community-Based Living for Individuals with Intellectual and Developmental Disabilities Residential Care Services in Alabama provide long-term, 24-hour support to individuals with developmental disabilities in a community-based, home-like setting. These services are regulated under the Alabama Department of Mental Health (ADMH) through the Home and Community-Based Services (HCBS) Medicaid Waiver. 1. Governing Agencies Agency: Alabama Department of Mental Hea