Environmental Accessibility Services in Alabama 


Environmental Accessibility Services in Alabama are physical adaptations to the home required by a waiver recipient's approved plan of care. These services aim to: 

  • Ensure the health, welfare, and safety of the waiver recipient 
  • Enable greater independence in the home 
  • Prevent institutionalization 

 

Services Provided 

Environmental Accessibility Services may include: 

  • Installation of ramps and grab-bars 
  • Widening of doorways 
  • Modification of bathroom facilities 
  • Installation of specialized electric and plumbing systems 
  • Adaptations to accommodate necessary medical equipment and supplies 

 

Eligibility and Regulations 

Services must be listed on the recipient's approved plan of care 

Adaptations must comply with applicable state or local building codes 

Services are governed by Alabama Medicaid Agency regulations 

 

Exclusions 

Environmental Accessibility Services exclude: 

  • Adaptations of general utility not directly benefiting the recipient medically
  • General home improvements like carpeting, roof repair, or central air conditioning 
  • Adding square footage to the home 

 

Application Process 

While specific details aren't available, providers likely need to: 

  • Enroll with the Alabama Medicaid Agency 
  • Submit a written plan detailing how services will comply with regulations 

 

Additional Notes 

  • As of February 2025, these services continue to play a crucial role in promoting independence and preventing institutionalization for individuals with disabilities in Alabama 
  • Providers should stay informed about any updates to ADA Standards for Accessible Design, as these may impact service delivery 

To get started, click the link to request portal access.