1. Program Definition and Services 

Environmental Modifications in Maine are physical adaptations to a member's residence that are necessary to ensure the health, welfare, and safety of the member or that enable the member to function with greater independence in the home. Services include: 

• Ramps 

• Lifts (porch, stair, hydraulic, manual, or electronic) 

• Bathroom modifications (roll-in showers, sink adaptations, toilet modifications) 

• Kitchen modifications (sink modifications, faucet controls, cabinetry adjustments) 

• Specialized accessibility adaptations (door-widening, grab bars, automatic door openers)  

2. Regulations 

Environmental Modifications in Maine are governed by: 

• MaineCare Benefits Manual, Chapter II, Section 19 

• Code of Maine Rules, Chapter 101 

3. Licensing or Certification 

Providers must be approved by the Maine Department of Health and Human Services (DHHS) to offer Environmental Modification services. 

4. Responsible State Agency 

The Maine Department of Health and Human Services (DHHS) is responsible for overseeing Environmental Modification services. 

5. Application Process 

Providers must apply through the Maine DHHS. All requests for Environmental Modifications must be authorized in advance by the Department or the Assessing Services Agency (ASA)  

6. Required Documentation 

Providers typically need to submit: 

• Proof of compliance with state and federal building codes 

• Evidence of staff qualifications (if applicable) 

• Documentation supporting services billed to the Department 

7. Timeline for Approval 

The specific timeline for approval is not provided in the available results. 

8. Pre-Application Process 

While there's no formal pre-application process mentioned, providers should ensure they can meet DHHS requirements before applying. 

9. Pre-Application Training 

No specific pre-application training requirements are mentioned. However, all Environmental Modifications must be performed by or supervised by State licensed/certified professionals 

10. Additional Notes 

• Environmental Modifications must be documented in the member's Authorized Plan 

• Reimbursement is not provided for general house repairs or remodeling 

• Modification of motor vehicles is not covered under this section 

• The Department or ASA determines medical necessity for Environmental Modifications 

• Providers must maintain documentation supporting services billed to the Department 

• As of January 1, 2024, all Environmental Modifications must be provided in accordance with applicable Federal, State, or local building codes