1. Program Definition and Services
Home Modification Services involve making alterations to a home to improve accessibility and safety for individuals with disabilities or functional limitations. Services include:
- Installing ramps, grab bars, and handrails
- Widening doorways for wheelchair access
- Modifying bathrooms and kitchens for accessibility
- Installing stair lifts or elevators
- Adapting lighting and electrical systems
- Making sensory modifications for individuals with behavioral concerns
2. Regulations
The primary regulations governing Home Modification Services in California are:
- California Code of Regulations, Title 22, Section 51344
- Americans with Disabilities Act (ADA) guidelines
3. Licensing or Certification
Home modifications must be performed by individuals holding a California Contractor's License, except for certain installations like Personal Emergency Response Systems (PERS)
4. Responsible State Agency
Multiple agencies oversee Home Modification Services in California:
- Department of Health Care Services (DHCS)
- Department of Rehabilitation
- Department of Developmental Services
5. Application Process
The process typically involves:
- Obtaining a prescription or recommendation from a healthcare professional
- Submitting an application to the relevant agency or funding source
- Providing documentation of medical necessity
- Obtaining multiple bids for modifications exceeding $1,000
6. Required Documentation
Required documentation includes:
- Clinical documentation from the member's primary care physician or health professional
- Evaluation report from a physical or occupational therapist
- Description of how the modification meets the individual's needs
- Cost estimates from contractors
7. Timeline for Approval
The timeline for approval varies depending on the complexity of the modification and the funding source. Simple modifications may be approved quickly, while more complex projects may take several weeks to months.
8. Pre-Application Process
Individuals should:
- Consult with healthcare professionals to determine necessary modifications
- Research available funding sources
- Obtain preliminary assessments of needed modifications
9. Pre-Application Training
While not explicitly required, some programs may offer informational sessions or consultations to help individuals understand the process and available options.
10. Additional Notes
- Modifications are typically limited to $7,500 per lifetime for Medicaid-eligible individuals in California
- Environmental Accessibility Adaptations (EAAs) are available for individuals at risk of institutionalization
- Home modifications must not supplant services received through other state, local, or federally funded programs
- For rented properties, written approval from the property owner is required before modifications can be made
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