Hourly: area median home care rate (CareScout 2025). 65+: Census share of residents (metro area for "Metro" locations).
No state license
Is non-medical home care licensed in Alabama?
The Alabama State Health Plan (effective June 14, 2024) says there is no licensure requirement for home health agencies in Alabama; those agencies are planned by county through the State Health Planning and Development Agency.
No Alabama state license for non-medical home care, companion, or personal care agencies was found in official sources. Agencies that serve Medicaid clients must follow Medicaid rules, including electronic visit verification for in-home care providers.
Tip: Because Alabama does not license non-medical agencies, ask for proof of insurance, bonding, workers' compensation, and criminal background checks on every caregiver.
Most families pay privately, with long-term care insurance or with veterans benefits. These programs can pay for help at home for people who qualify.
HCBS waiver
Elderly and Disabled (E&D) Waiver
Who: Elderly and/or disabled people who meet the nursing facility level of care. For 2026 the income limit is $2,982 per month and the resource limit is $2,000.
What it covers
Case management, homemaker services, personal care, respite care (skilled and unskilled), adult day health, adult companion services, home delivered meals, personal emergency response, and home modifications.
Family caregivers: Alabama Medicaid's Personal Choices program offers self-directed home and community-based services to people in a home and community-based waiver.
Income limit: Alabama Medicaid's 2026 income limit for the Elderly and Disabled Waiver is $2,982 per month for one person, with a $2,000 resource limit.
Rules change; confirm with Alabama Medicaid Agency. A care advisor can talk through payment options.
What a month of care costs in Alabama.
At the Alabama median of $27 an hour, home care for part of the day usually costs less than a facility.
Alabama medians, CareScout Cost of Care Survey 2025. Home care months are estimates: hourly rate x hours x 52 / 12. Not HomeCare.com prices.
Help at home with daily living.
Care in your home
Meal preparation
Light housekeeping
Bathing and dressing
Transportation
Companionship
Personal care
About home care in Alabama
Home care in Alabama helps seniors who need assistance with “activities of daily living (ADL’s)” and their family. In-Home Care can be provided in Alabama by either a home care agency or private duty caregivers. Agencies have physical locations and are more strictly regulated by the state, but many more experienced caregivers decide to work directly for the family as private duty home health aides so they can avoid the agency overhead that cuts into their wages.
HomeCare.com specializes in connecting families with caregivers who meet their unique needs. Our care advisors have years of experience dedicated to assisting families through this process. We'd be happy to offer you a free consultation to discuss your specific requirements and help you find the best possible caregiver.
Mercy LIFE of Alabama in Mobile is the PACE program the city of Mobile described in September 2025 as Alabama's only PACE. An older Alabama Medicaid notice names Mobile and Baldwin counties as its service area; ask Mercy LIFE to confirm the current area. No PACE program serving Birmingham, Huntsville, Montgomery, or Tuscaloosa was found.
Questions about care in Alabama.
Rather talk it through? A care advisor can answer these by phone.
CareScout's 2025 survey puts the Alabama median for a non-medical caregiver at $27 an hour. The national median is $35. The same survey lists assisted living at $4,425 a month and adult day care at $58 a day. Costs differ by city, so check your local page. A care advisor at 800-974-3458 can talk through payment options.
Does Medicaid pay for home care in Alabama?
It can. The Elderly and Disabled (E&D) Waiver covers personal care, homemaker services, respite, adult day health and more for people who meet the nursing facility level of care. For 2026 the income limit is $2,982 per month and the resource limit is $2,000. Call the Alabama Department of Senior Services at 1-800-243-5463. A care advisor can talk through payment options.
Is non-medical home care licensed in Alabama?
Alabama's State Health Plan says there is no licensure requirement for home health agencies. No state license for non-medical home care, companion or personal care agencies was found in official sources. Because of that, ask for proof of insurance, bonding, workers' compensation and criminal background checks on every caregiver.
Can I be paid to care for a family member in Alabama?
The data shows two things. Alabama Medicaid's Personal Choices program lets people in a home and community-based waiver direct their own services. Alabama CARES gives family caregivers of adults age 60 or older training, advice and respite through the local Area Agency on Aging. Call 1-800-243-5463 to ask what applies to your family.
Where can I find senior services in Alabama?
Start with your Area Agency on Aging. The Alabama Department of Senior Services answers at 1-800-243-5463, and its Aging and Disability Resource Centers, called One Door Alabama, work through those local agencies. The state long-term care ombudsman is at 334-242-5753. Alabama CARES supports family caregivers of adults age 60 or older.
How does HomeCare.com work in Alabama?
Call 800-974-3458 to talk with a care advisor. HomeCare.com then connects you with a credentialed, non-medical caregiver. Every caregiver it refers must pass a background check. You pick the visits and hours. An app confirms the caregiver arrived on time and that billed hours are accurate. Live-in care and 24/7 coverage are available, with support 7 days a week.
