Home Modification Services are governed by: 

• Alabama Medicaid Agency regulations 

• Home and Community-Based Services (HCBS) Waiver requirements 

• Local building codes and ADA compliance standards 

3. Licensing or Certification 

Providers must be: 

• Licensed contractors in the state of Alabama 

• Certified in ADA compliance and accessibility modifications (preferred) 

4. Responsible State Agency 

The primary agencies overseeing Home Modification Services are: 

• Alabama Medicaid Agency 

• Alabama Department of Rehabilitation Services 

• Alabama Department of Senior Services (for elderly individuals) 

5. Application Process 

Providers must enroll with the Alabama Medicaid Agency and meet requirements set by the relevant waiver programs. 

6. Required Documentation 

Providers must ensure: 

• Services are listed on the client's Plan of Care 

• Detailed cost estimates and project plans are submitted for approval 

• Proper documentation of completed modifications 

• Compliance with local building codes and inspection requirements 

7. Timeline for Approval 

Specific timelines for approval are not available, but the process typically involves: 

• Assessment of need 

• Development of a modification plan 

• Approval by case manager and state agency 

• Completion of work and final inspection 

8. Pre-Application Process 

There is no explicit mention of a pre-application process for Home Modification Service providers. 

9. Pre-Application Training 

While not specifically pre-application, providers should have training in: 

• ADA compliance and accessibility standards 

• Working with individuals with disabilities 

• Safety protocols for home modifications 

10. Additional Notes 

• Services are typically capped at a certain dollar amount per year or per modification 

• Modifications must be the most cost-effective solution to meet the individual's needs 

• As of February 2025, these services continue to play a crucial role in promoting aging in place and community integration for individuals with disabilities in Alabama 

• Providers should be aware of the distinction between home modifications and general home improvements or repairs.