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Illinois Home Modification Services Policy Manual

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The Illinois Home Modification Services Provider Policy Manual establishes a comprehensive framework for agencies delivering home modification services to individuals with disabilities or older adults, enabling them to live safely and independently in their own homes. This manual aligns with the Illinois Administrative Code (Title 89, Part 117), the Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and the Americans with Disabilities Act (ADA), ensuring compliance with state and federal standards.
The manual provides detailed guidance for implementing home modification services under programs administered by the Illinois Department of Human Services Division of Rehabilitation Services (IDHS-DRS) and the Illinois Department on Aging (IDoA). Home modifications are designed to improve accessibility, enhance safety, and support individuals in performing activities of daily living (ADLs). 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals who are Medicaid-eligible and require home modifications to maintain independence or prevent institutionalization. 
  • Service Delivery Standards: Home modification services include structural changes such as wheelchair ramps, stair lifts, widened doorways, bathroom accessibility improvements, grab bars, and kitchen modifications tailored to individual needs.
  • Assessment and Authorization: Includes individualized assessments of the home environment to determine necessary modifications. Authorization procedures must comply with Medicaid HCBS Waiver guidelines and IDHS-DRS requirements.
  • Construction and Installation: ADA modifications accessibility standards, local building codes, and safety regulations. Licensed contractors’ performance on construction and installation work.
  • Client Rights: Policies ensure that individuals receiving home modification services are treated with dignity and respect while maintaining autonomy over decisions regarding their living environment.
  • Health and Safety: Guidelines emphasize safe design principles, proper installation practices, and measures to minimize disruption during construction.
  • Funding and Reimbursement: The manual includes information on Medicaid reimbursement processes, allowable expenses under HCBS Waivers, cost-sharing requirements, and reporting obligations for providers.
  • Quality Assurance: Implementation of quality improvement measurements to monitor client satisfaction, project effectiveness, and compliance with regulatory standards.
  • Coordination with Other Services: Policies encourage collaboration between home modification providers and other service providers such as case managers, therapists, personal assistance services agencies, or adaptive equipment suppliers.
This manual serves as an essential resource for providers delivering home modification services in Illinois.
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