Nevada Home Modification Agency Policy Manual

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The Nevada Home Modification Agency Policy Manual provides a comprehensive operational framework for agencies delivering home modification services to individuals with disabilities, chronic conditions, and aging-related limitations across the State of Nevada. This manual aligns with the regulations established by the Nevada Department of Health and Human Services (DHHS), including the Aging and Disability Services Division (ADSD) and the Division of Health Care Financing and Policy (DHCFP), and complies with Medicaid Home and Community-Based Services (HCBS) waiver programs, including the Frail Elderly and Physically Disabled Waiver and the Intellectual Disabilities Waiver. The manual includes policies and procedures governing agency enrollment and credentialing, participant eligibility and assessment, home accessibility evaluations, individualized modification planning, ADA-compliant construction practices, contractor coordination and oversight, equipment and materials standards, staff qualifications and training, participant rights and protections, documentation and billing, incident reporting, and quality assurance. It promotes the provision of safe, cost-effective, and person-centered modifications—such as ramps, widened doorways, accessible bathrooms, grab bars, and stair lifts—that enable individuals to remain in their homes and avoid institutional care. This manual serves as a foundational resource for home modification providers in Nevada, ensuring the delivery of high-quality, compliant, and individualized services that support independence, accessibility, and aging or living in place.