Home Modification Services in Mississippi are designed to enhance accessibility and safety for individuals with disabilities or mobility challenges. These services, available through Mississippi’s Home and Community-Based Services (HCBS) Waivers, help maintain independence by adapting living environments to meet individuals’ needs. Modifications can include wheelchair ramps, widened doorways, accessible bathrooms, and more.

1. GOVERNING AGENCIES

Agency: Mississippi Department of Mental Health (DMH)

Role: Oversees coordination of HCBS Waiver services, including home modifications

Agency: Mississippi Division of Medicaid (DOM)

Role: Administers Medicaid and HCBS Waiver programs, including funding for home modifications

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. HOME MODIFICATION SERVICE OVERVIEW

Home modification services focus on improving accessibility and safety for individuals who need assistance with mobility or daily living tasks. Modifications are approved based on the individual’s Person-Centered Plan (PCP) or Individual Program Plan (IPP). Approved services include:

• Installation of wheelchair ramps and handrails
• Widening doorways for wheelchair access
• Accessible bathroom modifications (e.g., roll-in showers)
• Stair lifts and grab bars
• Adaptations for kitchen accessibility
• Safety enhancements, such as non-slip flooring

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Mississippi Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider with the Mississippi Division of Medicaid
• Obtain contractor’s license (if performing structural modifications)
• Maintain liability insurance and documentation of staff qualifications

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Mississippi Division of Medicaid to understand provider requirements

Step 2: Application Submission

• Submit documentation, including business registration, liability insurance, and a description of services offered

Step 3: License Verification

• Obtain and verify the contractor’s license (if required)

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to provide services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration
• IRS EIN Letter
• NPI confirmation
• Contractor’s license (if applicable)
• Liability insurance certificate

Policy & procedure manual including:

• Safety protocols and ADA compliance
• Staff qualifications and supervision logs
• Client intake and assessment forms
• Service logs and modification records

6. STAFFING REQUIREMENTS

Role: Project Supervisor / Construction Manager

Requirements: Background in construction management or home accessibility projects

Role: Modification Technician / Installer

Requirements:

• Experience in construction or carpentry
• OSHA safety certification
• Background check and TB clearance

Training Requirements:

• ADA compliance training
• Safety protocol and risk management
• Documentation and record-keeping

7. MEDICAID WAIVER SERVICES

Home Modification Services in Mississippi are available through:

• 1915(c) HCBS Waiver for the Elderly and Disabled
• Mississippi Independent Living Waiver
• Traumatic Brain Injury/Spinal Cord Injury Waiver

Approved providers may deliver:

• Accessibility modifications within the home
• Installation of adaptive equipment
• Safety improvements according to individual needs

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: Facility/Equipment Setup

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Mississippi Division of Medicaid (DOM)

Website: https://medicaid.ms.gov

Mississippi Department of Mental Health (DMH)

Website: https://www.dmh.ms.gov

10. SCOPE OF WORK

• Business registration and licensure
• Medicaid provider enrollment
• Policy & procedure manual for home modification operations
• Templates for safety protocols and ADA compliance
• Website, domain, and email setup
• Staff credentialing and training documentation
• Client intake packet and modification logs
• Risk management and incident reporting systems