Compendium of Home Modification and Assistive Technology Policy and Practice Across the States: State Profiles

Service Coordination/Case Manager. A person, such as a case manager, assesses a client's overall health care needs, may design a service plan, and coordinates services.

MD Order Required. A physician or other licensed medical provider (e.g., physician’s assistant, nurse practitioner) must write a prescription or order for an AT/HM service.

Assessment by other health professional. A specialized therapist (such as a physical, occupational or speech-language) must perform an assessment before an item can be covered.

Medical Necessity Required. The state's Medicaid regulations state that the AT/HM service must be medically necessary in order to be covered.

PA (Prior Authorization) Required. An AT/HM service must receive prior authorization from the program in order to be covered.

Bids Required. A case manager, service coordinator or consumer must obtain one or more bids from an equipment supplier/vendor for an AT/HM service.

SOURCE: Abt Associates review of Medicaid State Plan and HCBS waiver coverage policies, June 2005-February 2006.

Repairs: yes.

SMES: Devices, controls, or appliances specified in the plan of care that enable recipients to increase their abilities to perform activities of daily living or to perceive, control, or communicate with the environment in which they live. Also includes items necessary for life support, and ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment and supplies not available under the Medicaid State Plan.

AT: Devices and pieces of equipment or products that are modified or customized and are used to increase, maintain, or improve functional capabilities of individuals with disabilities. It also includes any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device. Such services may include needs evaluation and acquisition, selection, design, fitting, customizing, adaptation, application, etc.

SMES: $5,000 per year, per individual.  

AT: $20,000 per client.

Repairs: no.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable recipients to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live. This includes durable and non-durable medical equipment and supplies not available under the Medicaid State Plan. Examples include language computers, environmental control devices, augmentative communication device, and page-turners.

SMES: $5,000 per year, per individual.

Repairs: no.

AT: $20,000 per client.

Repairs: no.

PERS: An electronic device that enables a person to secure help in an emergency.

Medical supplies: Supplies and medications that are not covered in the Medicaid State Plan (e.g., egg crate mattress, lift sling, over-the-bed table, shower chair).

AT: Devices, pieces of equipment, or products that are modified or customized and are used to increase, maintain, or improve functional capabilities of individuals with disabilities. Also includes any service that directly assists an individual with disability in the selection, acquisition, or use of an assistive technology device (e.g., needs evaluation, acquisition, selection design, fitting, customizing, adaptation, application).

PERS: None.

Medical supplies: $2,300 annually per waiver recipient, including $500.00 for minor assistive technology.

AT: $2,000 per recipient annually and $15,000 per waiver recipient over the lifetime of the waiver.

Repairs: yes.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live. This service also includes items necessary for life support, ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment not available under the Medicaid state plan.

SMES: Information N/A.

Repairs: yes.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live. This service also includes items necessary for life support, ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment not available under the Medicaid state plan.

SMES: Information N/A.

Repairs: yes.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live. This service also includes items necessary for life support, ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment not available under the Medicaid state plan.

SMES: Information N/A.

Repairs: yes.

HM: Installation of one ramp, including handrails, and necessary threshold modification, to facilitate barrier-free access to their homes for members; widening of doorways to allow a member in a wheelchair one access route to his or her home, and one bedroom, and/or one bathroom; and modification of bathroom facilities to allow members access and/or increased independence in bathing and toileting functions. For example, roll-in showers, wall-hung or other wheelchair-accessible sinks, re-positioning of existing fixtures for adequate movement within the bathroom, and specialized toilets to allow for easier transfers.

ACD: Upgrades/change of devices and accessories are allowed when documentation supports the medical need for the change. Accessories such as software, wheelchair mounts, and switches are provided when necessary to allow communication across all environments.

Specialized medical equipment: Information N/A.

HM: One HM project.

ACD: Information N/A.

Specialized medical equipment: Information N/A.

Repairs: yes.

DME/Mobility-enhancing equipment: Includes wheelchairs, wheelchair batteries, tires, cushions and supplies, automobile hand controls.

ACD: Telecommunication and speech devices.

Other: There are caps on individual items per year.

Repairs: yes.

Repairs: no.

ACD: Computers, communication boards, and specialized medical equipment, such as devices, controls, or appliances, that will enable the person to perceive, control, or communicate with the environment in which he or she lives.

ACD: Information N/A.

Repairs: yes.

Augmentative or alternative communication: Communication board, speech-generating device.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: Information N/A.

Repairs: Information N/A.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: Information N/A.

Repairs: Information N/A.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: Information N/A.

Repairs: Information N/A.

PERS: An electronic device that enables a person to secure help in an emergency.

Assistive devices and communications services: Translation and interpretive services.

Repairs: no.

PERS: An electronic device that enables a person to secure help in an emergency.

Assistive devices and communications services: Translation and interpretive services.

Repairs: no.

SMES: Devices, controls, or appliances specified in the plan of care that enable individuals to increase their abilities to perform daily activities or to perceive, control, or communicate with the environment.

SMES: $1,000 per year.

Repairs: Information N/A.

IRS: An electronic device that enables a person to secure help in an emergency.

EAA: Information N/A.

IRS: Information N/A.

Repairs: no.

Assistive technology: Wheelchairs, sip-and-puff controls for wheelchair, electronic door opener, adaptive eating utensils.

Repairs: yes.

PERS/electronic monitoring: Electronic devices that enable a person to secure help in an emergency, or a medication monitoring device.

PERS: Information N/A.

Repairs: yes.

PERS/electronic monitoring: Electronic devices that enable a person to secure help in an emergency, or a medication monitoring device.

PERS: Information N/A.

Repairs: yes.

Environmental engineering: Adaptations to living quarters including to showers and toilets; control switches for the home; kitchen equipment for the preparation of special diets; and provisions for accessibility such as ramps and railings. Also, mobility devices to help people move around, including wheelchairs (general use and customized) and van adaptations.

AT: Expressive and receptive communication augmentation, including electronic communication boards; and safety-enhancing supports, including security or emergency response systems, if the cost is above and beyond that of normal expenses for personal needs.

Repairs: Information N/A.

SMES: Cognitive orthotics and memory prostheses, lifeline and med monitoring, electronic checkbook, car finder, paging systems, timing devices, sounding devices, security systems, queuing watches, tape recorders, telememo watches, spellcheckers, memory phone, info databases, and text outlining programs.

PERS: Electronic devices that enable a person to secure help in an emergency, or a medication monitoring device.

SMES: Information N/A.

PERS: Information N/A.

Repairs: yes.

Repairs: yes.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: None.

PERS: Training: yes. Repairs: yes.

VM: Alterations made to a vehicle that is the individual’s primary means of transportation, including wheelchair lift, wheelchair tie downs, and grab-bars.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Adaptive eating equipment, adaptive technology for speech, sensory integration equipment and supplies, standing tables.

PERS: None.

SMES: The waiver allows $750 per year with no prior approval (as long as items are specified in the Individual Plan). With prior approval, this benefit can reach $3,000 per three years.

PERS: Training: yes. Repairs: yes.

SMES: Training: yes. Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Devices, controls, or appliances that enable individuals to increase their abilities to perform activities of daily living or to perceive, control, or communicate with the environment in which they live, and that are not covered by the Medicaid State Plan. Assistive technology items include communication devices, computers, and personal digital assistants.

VM: Alterations made to a vehicle that is the individual’s primary means of transportation, including ramp installation and modification to accommodate wheelchairs.

PERS: The waiver has a set rate for reimbursement.

SMES: Limited to $10,000 per year.

VM: Limited to $10,000 per year.

Repairs: yes.

VM: Alterations made to a vehicle that is the individual’s primary means of transportation, including wheelchair lift, wheelchair tie downs, and grab-bars.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Adaptive eating equipment, adaptive technology for speech, sensory integration equipment and supplies, standing tables.

PERS: None.

SMES: The waiver allows $750 per year with no prior approval (as long as items are specified in the Individual Plan). With prior approval, this benefit can reach $3,000 per three years.

PERS: Training: yes. Repairs: yes.

SMES: Training: yes. Repairs: yes.

AAC devices and services: Electronic or non-electronic aids, devices, or systems that assist a person to overcome or ameliorate communication limitations that preclude or interfere with meaningful participation in current and projected daily activities. Augmentative/alternative communication devices include communication boards or books; electrolarynxes; speech amplifiers; and electronic devices that produce speech and/or written output. Augmentative/alternative communication services include treatment by a speech-language pathologist to help a person improve his or her communication ability.

AAC devices and services: None.

AAC devices and services: Training: yes. Repairs: yes.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

Adaptive equipment: Information N/A.

PERS: An electronic device that enables a person to secure help in an emergency.

AT/ACD: Sound amplifiers, TTY devices, Braille devices, learning toys, talking calculators, computer software, and other customized or modified barriers-reducing equipment.

Repairs: yes.

Customization/motorization of wheelchairs: Customized wheelchairs that are specially constructed (K0008, K0013, K0014).

Customization/motorization of wheelchairs: Information N/A.

Repairs: yes.

EAA: Portable ramps, when the recipient requires access to more than one, otherwise inaccessible, structure.

Vehicle adaptations: Van adaptations, including lifts, tie downs, and raised roof or doors in a family owned or individually owned full-size van.

ACD: Adaptive switches and buttons to operate equipment, communication devices, and environmental controls, such as heat, air conditioning, and lights, for a recipient living alone or who is alone without a caregiver for a major portion of the day.

EAA: Minor adaptations: under $3,500. Major adaptations: $3,500 and over. Total environmental accessibility adaptations cannot exceed $20,000 during a five-year period.

Vehicle adaptations: Information N/A.

ACD: Information N/A.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: Information N/A.

Repairs: yes.

EAA: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, or installation of specialized electric and plumbing systems to accommodate medical equipment and supplies.

EAA: Five jobs per year at $1,000, per job or $5,000 per year.

Repairs: Information N/A.

Medical and adaptive equipment: Egg crate padding for a bed when medically indicated and prescribed by a physician, or single-room air purifier with documented medical reason such as pulmonary disease.

EAA: Ramps, widening doors and modifying bathroom facilities to accommodate wheelchairs and other assistive devices, installation of specialized electrical or plumbing systems necessary to accommodate required medical equipment.

Medical and adaptive equipment: Information N/A.

EAA: Information N/A.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

EAA: Maximum annual dollar amount: $2,000.

PERS: Maximum annual dollar amount: $300.

Repairs: no.

AT: Adaptive switches to operate equipment, environmental controls, and communication devices.

Repairs: Information N/A.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: Training: yes. Repairs: information N/A.

Wanderer identification system: Individuals are registered with a national database and wear a bracelet or necklace with an identity number and a toll-free “hotline” to contact if the person is missing and when found.

EAA: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities or installation of specialized electric and plumbing systems to accommodate the medical equipment and supplies.

Wanderer identification system: $100 per year.

EAA: Five jobs of $1,000 per job or $5,000 per year.

Repairs: Information N/A.

Augmentative and alternative communication: Dedicated voice output communication devices as well as computer-based devices that have been adapted for use as the member’s communication devices (e.g., speech aids).

Augmentative and alternative communication: Information N/A.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Information N/A.

Vehicle adaptations: Hydraulic lifts ramps, special seats.

EM: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, or installation of specialized electric and plumbing systems.

PERS: Information N/A.

SMES: $13,474.76 per member, per lifetime.

Vehicle adaptations: $3,120 per member lifetime. Limit: one unit per year (up to but not to exceed lifetime maximum).

EM: $10,000 per member, per lifetime. Limit: one unit per year (up to but not to exceed lifetime maximum).

Repairs: yes.

SMES: Environmental control such as a computer, scanning communicator, speech amplifier, control switch or electronic control unit; devices, assessment, or training needed to assist members with mobility, seating, bathing, transferring, security, or other skills such as operating a wheelchair, locks, or door openers.

Vehicle adaptations: Hydraulic lifts ramps, special seats, and other interior vehicle modifications.

EAA: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, or installation of specialized electric and plumbing systems.

SMES: $5,200 per member, per year.

Vehicle adaptations: Information N/A.

EAA: $6,273.28 per member per year.

Repairs: yes.

• Capable of directing their own services (individuals with a traumatic brain injury do not have to meet this criterion);
• Have a severe physical impairment and/or traumatic brain injury that substantially limits one or more activities of daily living and requires the assistance of another individual;
• Medically stable but currently in a hospital or nursing facility or at risk of placement because community-based support services are not available; and
• Certified for a level of care appropriate for placement in a hospital or nursing facility.

AT: Special needs computers, direct selection communicators, scanning communicators, speech amplifiers, control switches, electronic control units, and electronic communication devices.

Adaptive equipment: Locks, door openers, mechanical feeders.

HM: Ramps and modification to bathrooms.

PERS: An electronic device that enables a person to secure help in an emergency.

AT: $1,026 per month.

Adaptive equipment: $1,026 per month.

HM: $8,000 per member, per lifetime.

PERS: Installation and testing $75 per residence; monitoring, $25 per month.

Repairs: no.

Customized wheelchairs/wheelchair ramps: Specialized seating systems, motorized wheelchairs and scooters.

Customized wheelchairs/wheelchair ramps: None.

Customized wheelchairs/wheelchair ramps: Training: yes. Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Adaptive equipment or supplies that the state plan does not cover.

PERS: None.

SMES: None.

PERS: Training: yes. Repairs: yes.

SMES: Training: yes. Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: May include adaptive equipment or supplies that the state plan does not cover.

PERS: None.

SMES: None.

PERS: Training: yes. Repairs: yes.

SMES: Training: yes. Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: May include adaptive equipment or supplies that the state plan does not cover.

PERS: None.

SMES: None.

PERS: Training: yes. Repairs: yes.

SMES: Training: yes. Repairs: yes.

Repairs: yes.

SMES: Any item, piece of equipment, or product system beyond the scope of the Medicaid state plan, whether acquired off the shelf or customized, that is used to increase, maintain, or improve the functional capability of the participant.

PERS: An electronic device that enables a person to secure help in an emergency.

AT: Assistive technology can range from something as simple as a reacher, a cane, or a bathroom grab-bar to something as complex as life-support, supplies and equipment to support such systems, adaptive computer key board, augmentative communication device, or durable and non-durable medical equipment.

Repairs: yes.

EAA (including home modifications): Installation of ramps and lifts, widening of doorways, modification of bathroom facilities, installation of electrical or plumbing systems.

Repairs: yes.

HM: Interior or exterior physical adaptations to the home owned or rented by the participant, identified on the participant’s individual service plan, and necessary to ensure the health, welfare, and safety of the individual. Such adaptations may include: installation of ramps and lifts, widening of doorways, modification of bathroom facilities, and installation of electrical or plumbing systems necessary to accommodate the medical equipment needed for the welfare of the participant.

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: yes.

Repairs: yes.

EAA: Home and vehicle modifications including ramps, grab-bars, porch lifts, and construction (widening doorways, installation of specialized electrical or plumbing systems to accommodate medical equipment).

SMES: Devices, controls, or appliances specified in the plan of care that enable individuals to increase their abilities to perform activities of daily living or to perceive, control, or communicate with their environment. Also includes items necessary for life support, and ancillary supplies and equipment not covered under the state plan.

PERS: An electronic device that enables a person to secure help in an emergency.

EAA: Information N/A.

SMES: Information N/A.

PERS: Training: yes. Repairs: yes.

Repairs: no.

Repairs: Information N/A.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable individuals to increase their abilities to perform activities of daily living or to perceive, control, or communicate with their environment. Also includes items necessary for life support, ancillary supplies, and equipment not covered under the state plan.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Training: Information N/A. Repairs: yes.

PERS: Training: yes. Repairs: yes.

SMES: Devices, controls, or appliances, specified in the plan of care, that enable individuals to increase their abilities to perform activities of daily living or to perceive, control, or communicate with the environment. Also includes items necessary for life support, ancillary supplies, and equipment not covered under the state plan.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Training: Information N/A. Repairs: yes.

PERS: Training: yes. Repairs: yes.

Minor HM: Physical adaptations to the home that are necessary to ensure the health, welfare, and safety of the individual as it relates to the person’s developmental disability, or that enable the individual to function with greater independence in the home.

Minor VM: Vehicle adaptations such as lifts, door or seating modifications, and safety/security modifications.

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: Information N/A.

ACD: Speech augmentation devices for individuals who require them to communicate.

Repairs: no.

PERS: An electronic device that enables a person to secure help in an emergency.

Adaptive aids and devices/SME: Items that enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live. Includes devices, controls, appliances, items necessary for life support, and durable and non-durable medical equipment not available under the Medicaid State Plan.

Environmental modifications: $15,000 lifetime cap, plus $500 annually for repair, replacement, or an adjustment to an existing modification.

PERS: Information N/A.

Adaptive aids and devices/SME: None.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Devices, controls, appliances, items necessary for life support, ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment not available under the Medicaid State Plan.

Environmental modifications: $15,000 lifetime cap, plus $500 annually for repair, replacement, or an adjustment to an existing modification.

PERS: Information N/A.

SMES: None.

PERS: An electronic device that enables a person to secure help in an emergency.

Environmental modifications: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, and installation of specialized electric and plumbing systems to accommodate medical equipment and supplies.

SMES: None.

PERS: Information N/A.

Environmental modifications: $15,000 lifetime cap, plus $500 annually for repair, replacement, or an adjustment to an existing modification.

SME: Devices, controls, appliances, items necessary for life support, ancillary supplies and equipment necessary to the proper functioning of such items, and durable and non-durable medical equipment not available under the Medicaid State Plan.

PERS: Information N/A.

SMES: None.

Environmental modifications: Installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, and installation of specialized electric and plumbing systems to accommodate medical equipment and supplies.

PERS: An electronic device that enables a person to secure help in an emergency.

AT: None.

Environmental modifications: $15,000 lifetime cap, plus $500 annually for repair, replacement, or an adjustment to an existing modification.

PERS: Information N/A.

ACD: Tracheotomy speaking valves and communication device wheelchair attachments. Augmentative communication systems are considered prosthetic devices and are covered for persons unable to communicate their basic needs through oral speech or manual sign language. Coverage is allowed for recipients in nursing facilities, intermediate care facilities for the mentally retarded, and private homes.

Repairs: yes.

PERS: An electronic device that enables a person to obtain help in an emergency.

PERS: 12 months of service per state fiscal year.

Repairs: no.

PERS: An electronic device that enables a person to obtain help in an emergency.

SME: Electronic aids and organizers, medicine-dispensing devices, communication devices, bath aids, and non-covered environmental control units.

PERS: 12 months of service per state fiscal year.

SME: $500 per month not to exceed $6,000 per year.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SME: Electronic aids and organizers, medicine-dispensing devices, communication devices, bath aids, and non-covered environmental control units.

PERS: 12 months of service per state fiscal year.

SME: $500 per month not to exceed $6,000 per year. Total cost of all waiver services cannot exceed $621/month.

Repairs: yes.

PERS: An electronic device that enables a person to obtain help in an emergency.

PERS: 12 months of service per state fiscal year.

Repairs: no.

PERS: An electronic device that enables a person to obtain help in an emergency.

PERS: Information N/A.

Repairs: no.

DME: Patient lifts (movable from room to room with disassembly and reassembly), includes all components/accessories.

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: no.

Assistive services: Augmentative communication devices, wheelchair controls, palm pilots, electronic door openers, environmental control systems (control temperature, lights, security system).

HM: Ramps, lifts, modifications/additions of bathroom facilities (roll-in showers, sink modifications, bathtub modifications, toilet modifications, water faucet controls, floor urinal and bidet adaptations, plumbing modifications, turnaround space adaptations), specialized accessibility/safety adaptations/additions (door-widening, electrical wiring, grab-bars and bidet adaptations, plumbing modifications, turnaround space adaptations).

VM: Van lifts, vehicle changes (e.g., hand controls, roll-in access, tie downs).

Assistive services/HM: There is a lifetime individual cost cap of $7,500 for HM and assistive services combined. Assistive services/assistive technology funded by other waiver programs is calculated into the lifetime maximum.

VM: Information N/A.

Repairs: Information N/A.

HM: Ramps, lifts (porch or stair, hydraulic, manual, or other electronic lifts), modifications/additions of bathroom facilities (roll-in showers, sink modifications, bathtub modifications, toilet modifications, water faucet controls, floor urinal and bidet adaptations, plumbing modifications, turnaround space adaptations), specialized accessibility/safety adaptations/additions (door-widening, electrical wiring, grab-bars and handrails, automatic door openers/doorbells, voice activated, light activated, motion activated, and electronic devices, fire safety adaptations, necessary air filtering devices, medically necessary heating/cooling adaptations, medically necessary modifications as identified by recipient's physician).

Communication devices: Available to Medicaid beneficiaries who are 18 years of age or older and do not meet Medicaid State Plan durable medical equipment criteria; these include non-electronic augmentative or alternative communication device speech-generating device, speech software programs.

VM: Van lifts provided for safe transfer and transportation to enhance community integration.

Repairs: yes.

HM: Ramps, lifts (stair), modifications of bathroom facilities (roll-in showers, sink modifications, bathtub modifications, toilet modifications, water faucet controls, turnaround space adaptations), specialized accessibility adaptations (door-widening, grab-bars and handrails).

PERS: An electronic device that enables a person to secure help in an emergency.

HM: Information N/A.

PERS: Limited to rental, $25 per month, and a one-time installation cost of $53.

Repairs: no.

[Note: Environmental modifications may be purchased only in rented apartments or homes when the landlord agrees in writing to maintain the modifications for a period of not less than three years and will give first rent priority to tenants with physical disabilities.]

Repairs: Information N/A.

Repairs: yes.

Repairs: no.

SMES: Including durable and nondurable medical equipment, devices, controls--and appliances or ancillary supplies, devices, controls, or appliances--that are specified in the plan of care and enable recipients to increase their abilities to perform activities of daily living or to perceive, control, or communicate with the environment in which they live. This excludes items that are not of direct medical or remedial benefit to the recipient, and are not essential to the rehabilitation and retraining of the individual.

SMES: Information N/A.

Repairs: yes.

Adaptive hygiene equipment: Elevated toilet seats, bath or shower stools, and safety guard rails.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: None.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

SMES: Information N/A.

Repairs: yes.

Repairs: no.

Adaptive aids/SMES: Lifts such as van lifts/adaptations for vehicles; lift devices; standing boards; frames; standard wheelchairs; pediatric wheelchairs; "hemi" chairs; tilt-in-space and reclining wheelchairs; control switches/pneumatic switches and devices such as sip and puff controls, and adaptive switches or devices that increase the member’s ability to perform activities of daily living; environmental control units; other devices necessary for life support; and durable and non-durable medical equipment that is not otherwise covered for reimbursement under the MaineCare state plan.

Communication aids: Direct selection, alphanumeric, scanning and encoding communicators; and speech amplifiers, aids and assistive devices not otherwise covered under other sections of the MaineCare Benefits Manual.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: $48 per month, per consumer.

Repairs: yes.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: $48 per month, per consumer.

Repairs: yes.

Repairs: yes.

Environmental assessments: On-site environmental assessments of the participant’s home or residence, including a licensed assisted living facility.

EAA: Physical adaptations to the home, including a licensed assisted living facility. May include installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, and installation of specialized electric and plumbing systems to accommodate medical equipment and supplies.

PERS: An electronic device that enables a person to secure help in an emergency.

Environmental assessments: $350 per assessment.

EAA: For modifications, there is a $10,000 per participant lifetime limit.

PERS: $1,000 for purchase and installation; $45/month for maintenance.

Environmental assessments: Information N/A.

EAA: Training: Information N/A. Repairs: yes.

PERS: Training: yes. Repairs: yes.

EAA: Visual fire alarms; lifts; ramps; grab-bars or handrails; stair glides; widening of doorways; modification of bathroom or kitchen facilities to make them physically accessible; lock, buzzer, or other device on a doorway to prevent or stop wandering; home modifications to help a participant identify the physical environment; and specialized electrical and plumbing systems to accommodate medical equipment and supplies.

PERS: An electronic device that enables a person to secure help in an emergency.

PERS: $1,095 per unit of service. However, up to $1,314 is allowed for a system with a motion detector.

EAA: Training: no. Repairs: no.

PERS: Training: yes. Repairs: yes.

Accessibility adaptations: Widening of doorways, installation of grab-bars, construction of access ramps and railings, installation of chair glides along stairways, installation of detectable warning on walking surfaces, installation of visible fire alarms for individuals who have a hearing impairment.

Repairs: yes.

Accessibility adaptations: Widening of doorways, installation of grab-bars, construction of access ramps and railings, installation of chair glides along stairways, installation of detectable warning on walking surfaces, installation of visible fire alarms for individuals who have a hearing impairment.

Repairs: yes.

Special adaptive mobility systems: Customized mobility and seating equipment that is designed to meet the needs of a specific individual. This benefit is also available to nursing home residents, although the nursing home must pay the first $500.

ACD: Communication boards or books, speech amplifiers, and electronic devices that produce speech or written output.

PERS: An electronic device that enables a person to secure help in an emergency.

Specialized equipment: Pressure-reducing support systems and equipment to meet bath and shower needs, such as shower chairs and transfer benches.

AT: Devices and services that help to maximize an individual’s control over his or her environment.

Repairs: yes.

Specialized equipment/assistive devices: Wheelchair ramp/porch lift, grab-bars, raised toilet/seat, custom electrical equipment.

ACD: Specialized augmentative communication devices other than those provided for in the state plan.

Specialized equipment/assistive devices: Wheelchair ramp/porch lift, grab-bars, raised toilet/seat, custom electrical equipment.

Specialized equipment/assistive devices: Wheelchair ramp/porch lift, grab-bars, raised toilet/seat, custom electrical equipment.

ACD: Specialized augmentative communication devices other than those provided for in the state plan.

Repairs: yes.

Physical adaptations to the home and/or workplace: Installation of wheelchair ramp or grab-bars, modification of bathroom facilities or installation of specialized electric and plumbing systems required to accommodate medical equipment, widening doorways.

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: yes.

Experimental items: Items whose use has not been supported in one or more studies in a refereed professional journal. This coverage includes: adaptations to vehicles and ancillary supplies and equipment necessary for proper functioning of such items.

Physical adaptations to the home and/or workplace: Air conditioning (window installments only), adjustments of sink heights, shower modifications, light switches, wheelchair ramps, raised toilet or raised toilet seats, porch lifts, widening of doorways, threshold leveling, other minor structural changes, electronic door openers, environmental control systems (to control temperature, lights, telephone, security systems).

PERS: An electronic device that enables a person to secure help in an emergency.

Repairs: yes.

Repairs: yes.

Environmental modifications: Modifications to items that are not permanently attached to the living setting or building itself, and can be transitioned with the client to a new setting. Items may include, but are not limited to, adaptive furniture, adaptive cooking utensils, portable ramps, and adaptive cleaning devices.

Extended supplies and equipment: Durable and non-durable medical supplies and equipment that are provided as a necessary adjunct to direct treatment of the recipient’s condition.

Extended supplies and equipment: None.

Repairs: yes.

Vehicle modifications: Door handle replacements, door widening, roof extensions, lifting devices, wheelchair securing devices, adapted seat devices, and handrails and grab-bars.

Repairs: yes.

SMES: Information N/A.

Repairs: yes.

Modifications and adaptations: Home modifications may include, but are not limited to: installation and maintenance of ramps and grab-bars, widening of doorways, modification of bathrooms and kitchens, installation of specialized electric and plumbing systems to accommodate medical equipment, shatterproof windows, floor coverings (i.e., allergy flooring/accessibility flooring), modifications to meet egress needs, alarm systems, and other requirements of the applicable life safety and fire codes, if any. Vehicle modifications may include, but are not limited to: door handle replacements, door widening, roof extensions, lifting devices, wheelchair securing devices, adapted seat devices, and handrails and grab-bars.

Environmental modifications: Modifications to items that are not permanently attached to the living setting or building itself, and can be transitioned with the client to a new setting. Equipment such as adaptive couches, chairs, tables and beds, adaptive bikes and strollers, and portable ramps are included.

Modifications and adaptations: Training: Information N/A. Repairs: yes.

Environmental modifications: Information N/A.