Home Modification and Accessibility Adaptation Services in Kansas support individuals with disabilities or functional limitations by adapting their homes to improve safety, accessibility, and independence. These services are authorized under Kansas Medicaid (KanCare) through several Home and Community-Based Services (HCBS) waiver programs.
 

1. GOVERNING AGENCIES

Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Oversees HCBS waiver program administration and sets policy for home modification services

Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid provider enrollment, billing approval, and reimbursement processes

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring accessibility modifications are compliant with Medicaid regulations

Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services under ISP plans, review contractor bids, and process provider reimbursements

2. SERVICE OVERVIEW

Home Modification and Accessibility Adaptation Services are designed to help participants remain in the least restrictive environment by addressing physical barriers in their homes.

Approved providers may deliver:

• Installation of wheelchair ramps, grab bars, handrails, and stair lifts
• Bathroom modifications (roll-in showers, raised toilet seats, widened doorways)
• Kitchen modifications (accessible cabinetry, lever handles, lower counters)
• Door widening and threshold elimination
• Ceiling or wall-mounted lift systems
• Adaptive lighting or environmental controls
• Structural changes directly related to participant accessibility and safety

All modifications must be medically necessary, align with the participant’s Individualized Service Plan (ISP), and be pre-approved by the MCO or waiver program.

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register as a business with the Kansas Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
• Coordinate with KanCare MCOs for credentialing and service authorization
• Maintain general liability, commercial contractor, and workers’ compensation insurance
• Comply with Kansas contractor licensing and ADA construction guidelines
• Develop policies for project planning, bidding, safety, and documentation

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4. KANSAS PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

• Enroll through KMAP as a Home Modification or Environmental Accessibility Adaptation provider

Step 2: MCO Contracting

• Contract with KanCare MCOs (Sunflower, Aetna, UHC) for service authorizations and claims processing

Step 3: Authorization & Project Planning

• Conduct initial assessment with participant and service planner
• Obtain medical documentation and bid approval from the MCO
• Submit pre-authorization for project funding
• Complete modification upon approval, followed by final inspection and documentation

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Kansas Business License
• IRS EIN confirmation
• NPI confirmation
• Proof of general liability and workers' compensation insurance

Home Modification & Accessibility Policy & Procedure Manual including:

• Bid submission, authorization, and billing workflows
• ADA-compliant construction standards and project documentation
• Safety, quality control, and final inspection procedures
• Participant rights, HIPAA compliance, and grievance protocols
• Staff/contractor credentialing, licensure, and supervision documentation
• Medicaid billing forms and audit-ready records

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6. STAFFING REQUIREMENTS

Role: Home Modification Project Manager
Requirements: Experience in construction or ADA-accessible remodeling, licensed contractor or building professional, background screening clearance

Role: Construction Crew / Accessibility Technicians
Requirements: State or city contractor license if required, training in ADA construction standards and participant safety protocols, background check clearance

Role (Optional): Occupational or Physical Therapist Consultant
Requirements: Evaluates accessibility needs and provides environmental recommendations

All staff must complete:

• HIPAA and confidentiality training
• ADA accessibility and safety standards training
• Emergency preparedness and abuse prevention training
• Annual safety and compliance reviews

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7. MEDICAID WAIVER PROGRAMS

Home Modification & Accessibility Adaptation Services are reimbursable under the following Kansas HCBS waivers:

• Intellectual/Developmental Disability (IDD) Waiver
• Physical Disability (PD) Waiver
• Technology Assisted (TA) Waiver
• Brain Injury (BI) Waiver
• Frail Elderly (FE) Waiver
• Autism Waiver (for sensory modifications if medically necessary)

Approved services may include:

• Structural and functional home alterations directly linked to health and safety
• Accessibility adaptations supporting mobility and independence
• Equipment or system installation that promotes in-home participation in daily tasks

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8. TIMELINE TO LAUNCH

Phase: Business Registration and Contractor Compliance Setup
Timeline: 1–2 months

Phase: Staff Licensing, Credentialing, and Safety Training
Timeline: 1–2 months

Phase: Medicaid and MCO Enrollment
Timeline: 60–90 days

Phase: Bid Process Setup and Home Modification Service Launch
Timeline: 30–45 days

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9. CONTACT INFORMATION

Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov

Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.ks.gov

Kansas Medical Assistance Program (KMAP)
Website: https://www.kmap-state-ks.us

KanCare MCOs:

Sunflower Health Plan: https://www.sunflowerhealthplan.com

UnitedHealthcare Community Plan: https://www.uhccommunityplan.com/ks

Aetna Better Health of Kansas: https://www.aetnabetterhealth.com/kansas

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10. SCOPE OF WORK 

• Business registration, contractor licensure, and Medicaid/MCO enrollment
• Development of Home Modification Policy & Procedure Manual
• Project bid templates, service tracking forms, and inspection checklists
• Billing system setup and documentation compliance tools
• Website, domain, and accessibility-focused branding
• Quality assurance systems for construction reviews, participant satisfaction, and audit readiness
• Referral network development with case managers, OTs, and HCBS service planners

Waiver Consulting Group supports licensed contractors, housing providers, and waiver agencies in launching Medicaid-compliant Home Modification & Accessibility Services across Kansas.