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Massachusetts Home Modification Services Policy Manual

Massachusetts Home Modification Services Policy Manual

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The Massachusetts Home Modification Services Policy Manual provides a comprehensive framework for operating state-compliant agencies delivering home modification services to individuals with disabilities or functional limitations in Massachusetts. This manual aligns with the Massachusetts Code of Regulations (130 CMR 630.000, 107 CMR 6.12), Massachusetts Rehabilitation Commission (MRC) guidelines, and MassHealth Home- and Community-Based Services (HCBS) waiver requirements to ensure full regulatory compliance and high-quality service delivery.
Key Features of the Manual:
  • Regulatory Compliance: The manual adheres to state-specific regulations, including 130 CMR (Home- and Community-Based Services Waivers) and 107 CMR (Adaptive Housing Standards). It ensures providers meet all licensing, safety, and documentation requirements for home modification services, including compliance with local building codes and trade standards.
  • Service Scope: Home modification services involve architectural alterations to private residences to enhance accessibility and safety for individuals with disabilities. Examples include the installation of ramps, stair lifts, grab bars, widened doorways, accessible kitchen and bathroom features, sensory or therapy spaces, and other modifications necessary for independent living.
  • Eligibility Criteria: Home modifications are available to individuals with documented disabilities or functional limitations that necessitate adaptations to their living environments. Eligibility is determined based on medical necessity as outlined in the participant’s individualized service plan (ISP) and authorization through MassHealth or MRC.
  • Conditions of Payment: Payment for home modification services requires prior authorization from MassHealth or MRC. Modifications must be included in the participant’s ISP and adhere to established billing procedures. 
  • Operational Standards: Policies include requirements for hiring qualified contractors licensed in carpentry, plumbing, electrical work, and other relevant trades. 
  • Nonpayable Services: The manual specifies exclusions such as modifications unrelated to disability needs, general home repairs (e.g., roof or heating system replacements), additions that increase square footage beyond accessibility needs, or modifications legally required to be made by landlords or public housing authorities.
  • Quality Assurance: Robust quality assurance measures, including thorough documentation of service delivery, regular inspections during and after project completion, and participant satisfaction surveys. 
 
This policy manual serves as a guide for agencies seeking licensure or certification to provide home modification services in Massachusetts. It supports the delivery of essential adaptations that promote independence while ensuring adherence to the state's regulatory framework for home- and community-based services (HCBS).
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