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Montana Home Modification Services Policy Manual

Montana Home Modification Services Policy Manual

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The Montana Home Modification Services Provider Policy Manual establishes a comprehensive framework for delivering state-compliant home modification services to individuals with disabilities and older adults in Montana. This manual aligns with the Montana Medicaid Home and Community-Based Services (HCBS) Program, the Administrative Rules of Montana (ARM), and federal guidelines such as the Americans with Disabilities Act (ADA) standards, ensuring compliance with state and federal regulations while promoting accessibility, safety, and independence.

The manual includes policies on:

  • Eligibility and Assessment: Guidelines for determining eligibility based on physical or cognitive impairments that limit activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Assessments will be conducted by qualified professionals, such as occupational therapists or certified aging-in-place specialists, to identify necessary modifications.
  • Scope of Services: Standards for modifications that enhance accessibility and safety, such as the installation of ramps, grab bars, widened doorways, and zero-step entries. Services also include adaptive equipment installation, plumbing or electrical adjustments for medical equipment, and environmental modifications to prevent falls.
  • Funding and Cost-Effectiveness: Procedures for utilizing Medicaid waivers (e.g., Big Sky Waiver) or other funding sources to ensure cost-effective adaptations. Modifications must be the most economical option to meet the individual’s needs without exceeding budgetary limits.
  • Service Delivery Process: Requirements for person-centered planning, including collaboration with clients, caregivers, and contractors. A competitive bidding process ensures fair pricing for labor and materials. All modifications must comply with local building codes and ADA standards.
  • Prohibited Activities: Restrictions on non-essential repairs or cosmetic enhancements, such as landscaping, general maintenance, or luxury upgrades unrelated to accessibility or safety.
  • Conflict-Free Service Delivery: Ensures that service providers operate without conflicts of interest, prioritizing client needs while maintaining transparency in service planning and execution.
  • Quality Assurance: Protocols for post-modification inspections to verify compliance with safety standards and client satisfaction. Providers must document improvements in the client’s ability to live independently or avoid institutionalization.

This policy manual serves as a vital resource for home modification service providers in Montana. It ensures the delivery of high-quality services that support individuals in maintaining independence, safety, and dignity within their homes while adhering to Montana’s regulatory framework.

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