1. Define the Program or Service
Home Modification Services in Nebraska are designed to remove barriers to access and function within the home environment, enabling individuals with disabilities to live more independently. These services include modifications such as installing ramps, widening doorways, and adapting bathrooms to accommodate wheelchairs.
2. Regulations Governing the Program
The program is governed by:
- Nebraska Administrative Code (NAC), specifically Chapter 72, § 007, which outlines the scope and limitations of home modifications.
- Medicaid HCBS Waivers, which cover home modifications under the Developmental Disabilities Waiver.
- Nebraska Fair Housing Act, which ensures equal housing opportunities and allows for reasonable modifications.
3. Licensing or Certification Requirements
To provide Home Modification Services, providers must be Medicaid providers. There is no specific license required for home modification services, but providers must comply with all applicable state regulations and standards.
4. Responsible State Agency
The Nebraska Department of Health and Human Services (DHHS), specifically the Division of Developmental Disabilities, is responsible for overseeing Home Modification Services under Medicaid waivers.
5. Application Process
The application process involves becoming a Medicaid provider. While specific online platforms are not detailed, applications typically require original signatures and supporting documents, which may need to be mailed to DHHS.
6. Required Documentation
Applicants must provide:
- A completed Medicaid provider application.
- Proof of compliance with all applicable Titles of the Nebraska Administrative Code.
- Documentation showing adherence to standards as described in the Division of Medicaid and Long-Term Care Service Provider Agreement.
- Proof of staff qualifications and training plans.
7. Timeline for Approval
Once a complete application is received, DHHS will review it. The timeline for approval can vary based on the completeness of the application and readiness for any necessary inspections.
8. Pre-Application Process
There is no formal pre-license application process; however, applicants should ensure they meet all operational standards and have necessary documentation ready before submitting their application.
9. Pre-Application Training
While specific pre-application training is not mandated, providers must comply with all applicable regulations and standards. Training may include understanding operational standards, quality assurance, and performance improvement programs.
10. Additional Notes
- Home modifications cannot add to the total square footage of a home unless necessary for accessibility.
- Modifications must be within a participant’s annual individual budget amount, with a budget cap of $10,000 per five-year period.
- The Assistive Technology Partnership (ATP) provides assessments and funding assistance for home modifications.
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