Home Modification Services in Iowa 


1.Program Definition and Services 

Home Modification Services in Iowa provide alterations to an existing living unit to make it usable or more usable for a person with a disability. Services include: 

  • Bathroom modifications (no-threshold showers, grab bars) 
  • Kitchen remodels for accessibility 
  • Widening doorways 
  • Installing ramps and lifts 
  • Adding handrails 

 

2. Regulations 

Home modifications are governed by Iowa Administrative Code (IAC) 441-78.37 for home- and community-based services waivers. 

 

3. Licensing or Certification 

No specific licensing is required, but providers must be enrolled through the Iowa Medicaid Enterprise (IME) to offer home modification services. 

 

4. Responsible State Agency

The Iowa Department of Health and Human Services (HHS) oversees Home Modification Services programs. 

 

5. Application Process 

Providers must enroll through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit to become a Medicaid provider for home modification services. 

 

6. Required Documentation 

Required documentation includes: 

  • Completed provider enrollment application 
  • IRS Form W-9 
  • Provider Agreement (Form 470-2965) 
  • EFT Authorization (Form 470-4202) 
  • Proof of liability insurance 
  • Staff qualifications and certifications 

 

7. Timeline for Approval 

The exact timeline for approval is not specified, but it may take several weeks for the IME to review and process applications. 

 

8. Pre-Application Process 

There is no specific pre-application process mentioned. 

 

9. Pre-Application Training 

No mandatory pre-application training is mentioned, but providers should be familiar with accessibility standards and modification techniques. 

 

10. Additional Notes 

  • Modifications must directly address the member's medical or remedial need. 
  • The total cost of modifications must fall within the allowable costs of each individual waiver. 
  • Three competitive bids from Medicaid providers are required for each modification project. 
  • Environmental reviews may be required for projects involving repair or rehabilitation above the maintenance level. 
  • As of March 2025, Iowa is implementing new programs to support home modifications for older adults to age in place.

 

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