Alexa Integration - Automatic vs Manual

Hey everyone,
I’ve read the Alexa Integration Manual and I’m unclear of one part. At the top of the document it talks about the “Automated setup” and just below that it discusses “Manual setup”. In the “Automated setup” it talks about using Home Assistant Cloud, but doesn’t mention that in the “Manual setup”. Is it fair to say that if you do the “Manual setup”, you don’t need to pay for the Home Assistant Cloud?

Thanks in advance,
TBD