Alabama Administrative Code Title 795 - ALABAMA DEPARTMENT OF REHABILITATION SERVICES HOMEBOUND PROGRAM
Here’s an updated breakdown of Alabama Administrative Code Title 795 — Department of Rehabilitation Services, with a special focus on the Homebound/SAIL Program (Chapter 795‑8‑1):
📚 Overview: Title 795 – Dept. of Rehabilitation Services
Title 795 encompasses the rules and regulations governing various programs under the Alabama Department of Rehabilitation Services. Key chapters include:
795‑1‑1 – Organization & Administration
795‑2‑1 to 795‑2‑4 – Due Process, Reviews, Mediation & Formal Hearings
795‑3‑1 – Early Intervention Program
795‑4‑1 – Children’s Rehabilitation Services
795‑5‑1 – Hemophilia Program
795‑6‑1 – Adult Vocational Rehabilitation
795‑7‑1 to 7‑15 – Business Enterprise Program (vending facilities for the blind)
795‑8‑1 – SAIL/Homebound Program (detailed below)
795‑9‑1 – Independent Living Services
And others including Client Assistance, Governor’s Committee, etc. (law.cornell.edu, regulations.justia.com, rehab.alabama.gov)
🏡 Chapter 795‑8‑1: SAIL/Homebound Program
1. General Information
The SAIL/Homebound Program provides medical care, attendant services, and adjustment aids to individuals with severe disabilities living at home (rehab.alabama.gov).
Administered by the Alabama Department of Rehabilitation Services, potentially in contract with other agencies.
The program is need-based—not an entitlement—and prioritizes individuals already receiving services until case closure triggers eligibility review (law.cornell.edu).
2. Definitions
Key terms include:
Severe Disability – Examples: ALS, multiple sclerosis, spinal cord injuries, etc.
Homebound – Dependent on others for Daily Living Activities, but living in an unrestricted environment.
Also includes terms like “Medical Care,” “Attendant Care,” “Home Modification,” “Assistive Devices,” and “Transportation” (rehab.alabama.gov).
3. Application & Eligibility
Referrals accepted from individuals, medical providers, agencies, etc.
Priority is given to spinal cord or traumatic brain injury cases; other conditions served based on funding.
Eligibility requires:
Severe disability
Home residency (safe environment)
Dependence on assistance for ≥6 of 8 ADLs
Aged ≥16
Insufficient income/resources
Family caregiver availability
Risk of institutionalization without SAIL care
Alabama residency (rehab.alabama.gov).
4. Services Provided
May include:
Medical care and prescription support
Adjustment training (counseling, disability management)
Attendant care (bathing, dressing, feeding, household tasks)
Home modifications (capped at $1,000/year/home)
Assistive devices and tech
Transportation for medical appointments or work (payor of last resort)
Medical supplies related to primary disability (rehab.alabama.gov).
5. Financial Accountability
Funding strictly for essential services.
Clients/families may contribute based on ability.
Vendors cannot charge clients beyond approved rates.
The program coordinates benefits to avoid duplication and maximize available resources .
6. Case Closure Conditions
Services terminated when:
The client’s home environment is unsafe
Services are no longer needed or are duplicated
Dependency level or financial eligibility changes
The client enters a nursing home, moves out of state, stops cooperation, or passes away (rehab.alabama.gov).
Upon closure, written notice and appeal rights must be provided.
✅ Summary
Title 795 defines the structure and administration of multiple rehabilitation programs in Alabama. The SAIL/Homebound chapter (795‑8‑1) specifically addresses in-home support services for individuals with severe disabilities, clearly laying out eligibility, types of support, fiscal responsibility, and case closure criteria.
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