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Available for people using Individual Options, Level One, and SELF waivers

Environmental Accessibility Adaptations

Environmental Accessibility Adaptations include physical changes to a person’s home that ensure their health and safety or help them to function with more independence. Adaptations address a need identified through assessment. They may include things like installation of a ramp or grab bars, changes to an existing bathroom, and widening doorways for wheelchairs.

When to Apply this Service

The person’s service and support administrator, or SSA, will assess them for a need for Environmental Accessibility Adaptations. If there is a need, the SSA will include it in the person’s individual service plan.

Sometimes a professional like an occupational therapist, physical therapist, or environmental accessibility engineer will be called in to assess the situation and the person's abilities. This evaluation ensures that the environmental accessibility adaptation meets the person’s medical or physical needs, and that the adaptation meets the requirement to choose the lowest cost option that meets the person’s needs. 

The environmental accessibility adaptation service is limited to $10,000 per project. Adaptations that add to a home’s total square footage, are of general utility, and not for the direct medical or remedial benefit of the person are excluded.

Providing this Service

Agency and independent providers that have a Medicaid provider agreement and are DODD-certified can provide this service. Adaptations must comply with all applicable state and local building codes and be completed as specified in the person’s individual service plan.

Adaptations that add to a home’s total square footage, are of general utility, and not for the direct medical or remedial benefit of the person are excluded.

Training Requirements for this Service

Providers must complete the initial provider certification and annual training requirements to deliver this service. Applicants seeking approval to provide this service must submit documentation of their experience performing environmental accessibility adaptations to DODD.

Billing and Payment Information

All services must be delivered as specified in the individual service plan and authorized in Payment Authorization for Waiver Services, known as PAWS, to be successfully submitted for payment through eMBS. The county board must submit verification that the project meets the requirements specified in the individual service plan, has been satisfactorily completed, and is in compliance with state and local requirements, including building codes.

Rates and limits for Environmental Accessibility Adaptations are contained in the service rule's appendix.