PROMOTING INDEPENDENCE, SAFETY, AND ACCESSIBILITY THROUGH STRUCTURAL HOME ADAPTATIONS

Home Modification Services in Idaho assist individuals with disabilities, chronic conditions, or aging-related needs by making physical adaptations to their homes. These changes enable safer living conditions, greater independence, and community integration. Home modifications are authorized under Idaho’s Medicaid Home and Community-Based Services (HCBS) waiver programs to support participants in remaining safely in their homes.

1. GOVERNING AGENCIES

Agency: Idaho Department of Health and Welfare (IDHW) — Division of Medicaid
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Home Modification Services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Home Modification Services meet Medicaid HCBS standards

2. HOME MODIFICATION SERVICE OVERVIEW

Home Modification Services involve physical changes to a participant’s home to increase accessibility, remove safety hazards, and enhance the participant’s ability to live independently.

Approved providers may deliver:

• Installation of ramps, stair lifts, and widened doorways
• Bathroom modifications (roll-in showers, grab bars, accessible toilets and sinks)
• Kitchen modifications (lowered counters, accessible appliances)
• Installation of handrails, non-slip flooring, and reinforced entryways
• Environmental adaptations like lighting improvements or adapted control systems
• Minor home repairs necessary to ensure the effectiveness of the modification

All services must be specified in the participant’s Individualized Service Plan (ISP) and must directly relate to the participant’s disability and ability to remain in the home.

​

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Idaho Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Hold appropriate contractor licensing through the Idaho Division of Building Safety (if performing structural modifications)
• Enroll as a Medicaid provider through Idaho Medicaid Provider Enrollment
• Maintain general liability, professional liability, and worker’s compensation insurance
• Develop participant-centered policies for assessment, project planning, construction, and safety assurance

4. IDHW PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Submit Provider Enrollment Application identifying Home Modification Services through Idaho’s Medicaid Management Information System (MMIS)

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, contractor licenses (where applicable), proof of insurance, staff qualifications, and operational protocols
• Provide examples of project assessments, modification plans, participant intake forms, and emergency response plans

Program Readiness Review:

• IDHW reviews readiness including project safety standards, participant protections, and Medicaid billing systems

Approval & Medicaid Enrollment:

• Upon approval, configure billing codes for Assessment, Modification, Construction, and Final Inspection of Home Modification Services

​

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Registration (Idaho Secretary of State)
• IRS EIN confirmation
• NPI confirmation
• Contractor License (for major structural modifications)
• Proof of general liability, professional liability, and worker’s compensation insurance

HCBS-Compliant Policy & Procedure Manual including:

• Participant intake, assessment, and home modification planning procedures
• Construction standards, ADA compliance, and quality control protocols
• Emergency planning during construction
• HIPAA confidentiality, participant rights, and grievance handling policies
• Staff credentialing, background screening, and contractor vetting documentation
• Medicaid billing, authorization tracking, and audit readiness systems

​

6. STAFFING REQUIREMENTS

Role: Home Modification Program Manager / Construction Supervisor
Requirements: Licensed contractor or construction supervisor with experience in ADA-compliant modifications; background screening clearance

Role: Construction Technicians / Installers
Requirements: Skilled trades experience in accessible construction and home modifications; background screening clearance

All staff must complete:

• HIPAA confidentiality and participant rights training
• Home accessibility standards, safety training, and emergency preparedness
• Annual training updates in building codes and disability accommodation practices

​

7. MEDICAID WAIVER PROGRAMS

The following Idaho Medicaid Waivers authorize Home Modification Services:

• Aged and Disabled (A&D) Waiver
• Developmental Disabilities (DD) Waiver
• Children’s Developmental Disabilities Waiver

Approved providers may deliver:

• Home accessibility adaptations supporting safety and mobility
• Structural home changes tied directly to participant needs
• Environmental control installations to increase independence

​

8. TIMELINE TO LAUNCH

Phase: Business Formation and Credentialing Setup
Timeline: 2–4 weeks

Phase: Contractor Licensing and Insurance Setup
Timeline: 1–2 months

Phase: Idaho Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing System Configuration and Claims Management
Timeline: 30–45 days

​

9. CONTACT INFORMATION

Idaho Department of Health and Welfare (IDHW) — Medicaid Division
Website: https://healthandwelfare.idaho.gov/services-programs/medicaid-health

Idaho Division of Occupational and Professional Licenses (Contractor Licensing)
Website: https://dopl.idaho.gov/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

Waiver Consulting Group supports construction firms, accessibility contractors, and community organizations in launching Medicaid-compliant Home Modification Services under Idaho’s HCBS waiver programs.

10. SCOPE OF WORK

• Business registration and EIN/NPI setup
• Contractor licensing and Medicaid provider enrollment assistance
• Development of Home Modification Services Policy & Procedure Manual
• Staff credentialing templates and project management documentation
• Medicaid billing system configuration and claims management
• Website, domain, and email setup
• Participant intake, project tracking, and service authorization templates
• Safety and accessibility compliance procedures
• Quality assurance programs for project success and participant satisfaction
• Community networking and referral partnership development strategies