Home Modification Services in Indiana help individuals with disabilities, chronic conditions, or age-related limitations live more safely and independently in their homes. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and include physical adaptations that support Activities of Daily Living (ADLs), reduce the risk of institutionalization, and improve functional access within the home.

1. GOVERNING AGENCIES

Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Oversees authorization, service delivery standards, and quality monitoring for Home Modifications under Medicaid waivers

Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Home Modification Services and manages provider enrollment, billing, and reimbursement

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Home Modification Services align with HCBS standards, medical necessity requirements, and participant-centered care principles

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2. HOME MODIFICATION SERVICE OVERVIEW

Home Modification Services include physical adaptations to a participant’s primary residence that are necessary to ensure their health, welfare, and ability to function safely and independently at home.

Approved providers may deliver:

• Installation of wheelchair ramps, stair lifts, or vertical platform lifts
• Widening of doorways and hallways to accommodate mobility devices
• Installation of grab bars, handrails, and transfer poles
• Bathroom modifications including roll-in showers, raised toilets, and accessible sinks
• Kitchen modifications for accessibility (e.g., lowered countertops, accessible cabinetry)
• Flooring changes to reduce fall risk or allow for easier mobility
• Voice-activated or remote-controlled home accessibility equipment

All modifications must be based on an individualized assessment, included in the participant’s Individualized Service Plan (ISP), and supported by documentation of medical or functional necessity.

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business entity with the Indiana Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
• Maintain contractor licensure, bonding, and insurance according to Indiana state and local building codes
• Obtain lead-safe certification or ADA construction certification if applicable
• Maintain general liability and product liability insurance
• Develop policies for home assessment, project approvals, participant safety, and documentation
• Ensure all subcontractors or vendors meet licensing and credentialing requirements

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4. INDIANA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Home Modification Services

Application and Documentation Submission:

• Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, contractor licenses, sample bids, and home modification service policies

Program Readiness Review:

• FSSA reviews provider readiness, including documentation practices, construction standards, safety procedures, and participant rights protections

Approval & Medicaid Enrollment:

• Upon approval, providers are authorized to deliver Home Modification Services and bill for assessments, labor, materials, and installation under waiver guidelines

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (Indiana Secretary of State)
• IRS EIN confirmation
• NPI confirmation
• Contractor license and building permit documentation
• Proof of general liability, product liability, and bonding insurance

Home Modification Services Policy & Procedure Manual including:

• Participant intake, home assessment, and bid/approval process
• ADA and code-compliant construction standards
• Health and safety monitoring during installation
• Participant rights, HIPAA confidentiality, and grievance policies
• Staff and subcontractor credentialing and training documentation
• Medicaid billing, project cost tracking, and audit readiness systems

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6. STAFFING REQUIREMENTS

Role: Home Modification Program Manager
Requirements: Experience in residential construction, ADA compliance, or occupational therapy/environmental access, background clearance

Role: Licensed Contractors / Subcontractors
Requirements: Active Indiana contractor license, experience in accessibility modifications, background clearance

Role (Optional): Occupational Therapist / Assistive Technology Consultant
Requirements: State license; responsible for assessing participant needs and recommending appropriate modifications

All staff and subcontractors must complete:

• Participant rights, safety, and HIPAA confidentiality training
• OSHA-compliant construction safety training
• ADA guidelines training (where applicable)
• Annual continuing education (for evaluators or consultants)

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7. MEDICAID WAIVER PROGRAMS

Home Modification Services are available under the following Indiana Medicaid waivers:

• Community Integration and Habilitation (CIH) Waiver
• Family Supports Waiver (FSW)
• Aged and Disabled (A&D) Waiver
• Traumatic Brain Injury (TBI) Waiver

Approved providers may deliver:

• Accessibility-related structural modifications
• Installation of adaptive equipment integrated into the home
• Home safety enhancements directly related to participant needs
• Ongoing repair or minor updates to maintain functionality (per waiver rules)

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8. TIMELINE TO LAUNCH

Phase: Business Formation, Licensing, and Compliance Setup
Timeline: 1–2 months

Phase: Staff/Subcontractor Recruitment, Credentialing, and Safety Program Setup
Timeline: 2–3 months

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

Phase: Medicaid Billing System Setup and Service Launch
Timeline: 30–45 days

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9. CONTACT INFORMATION

Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/

Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/

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

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10. SCOPE OF WORK

• Business registration, contractor licensing, and Medicaid enrollment guidance
• Development of Home Modification Services Policy & Procedure Manual
• Staff/subcontractor credentialing templates, project tracking forms, and bid documentation tools
• Medicaid billing system setup and audit-ready documentation systems
• Website, domain, and professional branding support
• Environmental accessibility checklist templates and approval workflows
• Quality assurance systems for compliance tracking, safety monitoring, and participant feedback
• Partnership development with waiver case managers, rehab therapists, and housing agencies