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Medicaid and Home Modifications: Waivers for Assistive Technology and Environmental Adaptations
Does Medicaid pay for home modifications to enable aging in place?
Many states have Medicaid waiver programs that allow for Medicaid enrolled individuals to receive care at home instead of in a nursing home. In doing so, some of these waivers will pay for home modifications or more formerly Environmental Accessibility Adaptations.
Some waivers pay for assistive technologies such as special equipment for a washroom and adaptive lighting and others waivers pay for physical modifications to the home such as the addition of wheelchair ramps, stair-lifts and the widening of doorways to accommodate wheelchairs. Some waivers include resources for both technologies and modifications.
Waiver programs are state specific; they can also be condition-specific and age-specific. In each state, they have different names. Our organization has researched and found the following states to have waiver programs that include some level of home modification / environmental adaptations assistance. This information is current as of 2011 however one should also check with their local Medicaid office.
In addition to waivers, another Medicaid program called Money Follows the Person also helps with home modifications. However this program is only for individuals that currently reside in nursing homes and wish to return to living at home.
Some waivers pay for assistive technologies such as special equipment for a washroom and adaptive lighting and others waivers pay for physical modifications to the home such as the addition of wheelchair ramps, stair-lifts and the widening of doorways to accommodate wheelchairs. Some waivers include resources for both technologies and modifications.
Waiver programs are state specific; they can also be condition-specific and age-specific. In each state, they have different names. Our organization has researched and found the following states to have waiver programs that include some level of home modification / environmental adaptations assistance. This information is current as of 2011 however one should also check with their local Medicaid office.
In addition to waivers, another Medicaid program called Money Follows the Person also helps with home modifications. However this program is only for individuals that currently reside in nursing homes and wish to return to living at home.
State Specific Medicaid Waivers that Provide Assistance for Home Modifications
Alabama's Technology Assisted Waiver
Alabama SAIL Waiver
California’s Multipurpose Senior Services Program
Colorado Medicaid Waiver for the Elderly, Blind and Disabled
Florida Medicaid Nursing Home Diversion Waiver
Florida CDC+ Waiver
Idaho HCBS Aged & Disabled Medicaid Waiver
Indiana Aged and Disabled Medicaid Waiver
Iowa Medicaid HCBS Elderly Waiver
Kansas HCBS Frail and Elderly Medicaid Waiver
Kentucky’s Home and Community Based (HCB) Waiver Program for Aged and Disabled
Louisiana EDA Waiver
Louisiana Community Choices Waiver
Maine’s Older Adults and Adults with Disabilities Waiver
Maryland Medicaid Waiver for Older Adults
Mass-Health Frail Elder Home and Community-Based Services Waiver (HCBS)
Michigan Medicaid Choice Waiver Program
Minnesota Medicaid Elderly Waiver Program
Minnesota’s Personal Care Assistance Program
Montana Medicaid Home and Community Based Services Waiver
North Dakota Medicaid Waiver for Aged and Disabled
New Hampshire’s Choices for Independence Waiver
New Jersey Global Options for Long-Term Care
New Jersey’s Personal Preference Program
New Mexico’s CoLTS C Waiver
Ohio Choices Home Care Medicaid Waiver
Oklahoma’s ADvantage Program Waiver
Older Alaskans Program Medicaid Waiver
Oregon’s Aged and Physically Disabled Medicaid Waiver
Pennsylvania Department of Aging Medicaid Waiver
Pennsylvania Services My Way
Rhode Island Medicaid Personal Choice Program
South Carolina Community Choices Healthy Connections (Medicaid) Waiver for the Aged
Tenn-Care Elderly and Disabled Home and Community Based Services Waiver
Texas Star Plus Medicaid Waiver
Texas Community Based Alternatives
Utah Medicaid Aging Waiver for Individuals Age 65+
Vermont Medicaid Choices for Care Waiver
Virginia Technology Assisted Medicaid Waiver
Washington’s Medically Needy In-Home Waiver (MNIW) and Medically Needy Residential Waiver
Washington’s New Freedom Program
Wisconsin Medicaid’s CIP-II and COP-W Waivers
Alabama SAIL Waiver
California’s Multipurpose Senior Services Program
Colorado Medicaid Waiver for the Elderly, Blind and Disabled
Florida Medicaid Nursing Home Diversion Waiver
Florida CDC+ Waiver
Idaho HCBS Aged & Disabled Medicaid Waiver
Indiana Aged and Disabled Medicaid Waiver
Iowa Medicaid HCBS Elderly Waiver
Kansas HCBS Frail and Elderly Medicaid Waiver
Kentucky’s Home and Community Based (HCB) Waiver Program for Aged and Disabled
Louisiana EDA Waiver
Louisiana Community Choices Waiver
Maine’s Older Adults and Adults with Disabilities Waiver
Maryland Medicaid Waiver for Older Adults
Mass-Health Frail Elder Home and Community-Based Services Waiver (HCBS)
Michigan Medicaid Choice Waiver Program
Minnesota Medicaid Elderly Waiver Program
Minnesota’s Personal Care Assistance Program
Montana Medicaid Home and Community Based Services Waiver
North Dakota Medicaid Waiver for Aged and Disabled
New Hampshire’s Choices for Independence Waiver
New Jersey Global Options for Long-Term Care
New Jersey’s Personal Preference Program
New Mexico’s CoLTS C Waiver
Ohio Choices Home Care Medicaid Waiver
Oklahoma’s ADvantage Program Waiver
Older Alaskans Program Medicaid Waiver
Oregon’s Aged and Physically Disabled Medicaid Waiver
Pennsylvania Department of Aging Medicaid Waiver
Pennsylvania Services My Way
Rhode Island Medicaid Personal Choice Program
South Carolina Community Choices Healthy Connections (Medicaid) Waiver for the Aged
Tenn-Care Elderly and Disabled Home and Community Based Services Waiver
Texas Star Plus Medicaid Waiver
Texas Community Based Alternatives
Utah Medicaid Aging Waiver for Individuals Age 65+
Vermont Medicaid Choices for Care Waiver
Virginia Technology Assisted Medicaid Waiver
Washington’s Medically Needy In-Home Waiver (MNIW) and Medically Needy Residential Waiver
Washington’s New Freedom Program
Wisconsin Medicaid’s CIP-II and COP-W Waivers
Use our Eldercare Financial Resource Locator Tool to find other public and private programs that can help pay for or reduce the costs of long term care for the elderly.
