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

Environmental Accessibility Adaptations include changes to the structure of a home that ensure health and safety or offer more independence to a person while helping with a need from their assessment. Adaptations can be things like making a bath or shower accessible or widening doorways for wheelchairs.

Adaptations might be called many things, such as "home modifications," "home mods," or "changes to your home."

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. That evaluation ensures that the modification meets the medical or physical of the person and that the modification meets the requirement to choose the lowest cost option that meets those needs. 

Using the Level One waiver, payments for Assistive Technology, Environmental Accessibility Adaptations, Home-Delivered Meals, and Specialized Medical Equipment and Supplies, alone or in combination, must not exceed $7,500 within a three-year period.

Using the Individual Options waiver, this services is limited to $10,000 per project.

Providing this Service

Agency and independent providers that have a Medicaid provider agreement and are DODD-certified can provide this service.

Training Requirements for this Service

Providers must complete the initial provider certification and annual training requirements to deliver this service.

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.

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