New York Home Modification Agency Policy Manual

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The New York Home Modification Agency Policy Manual provides a comprehensive operational framework for agencies delivering home modification services to individuals with disabilities, chronic health conditions, or age-related needs across the State of New York. This manual aligns with regulations established by the New York State Department of Health (NYSDOH), the Office for People With Developmental Disabilities (OPWDD), and the Office of Temporary and Disability Assistance (OTDA), and complies with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Nursing Home Transition and Diversion (NHTD) Waiver, the Traumatic Brain Injury (TBI) Waiver, and the OPWDD Comprehensive Waiver. The manual includes policies and procedures governing provider enrollment and approval, participant eligibility and environmental assessments, person-centered planning for accessibility needs, project scope development, ADA-compliant construction and safety standards, contractor coordination and oversight, staff training and credentials, participant rights and protections, documentation and billing procedures, incident reporting, and quality assurance. It emphasizes functional, cost-effective home modifications—such as ramps, widened doorways, roll-in showers, grab bars, stair lifts, and accessible kitchens—that enable individuals to live safely and independently in their homes, reducing the risk of institutionalization. This manual serves as a foundational resource for home modification providers in New York, ensuring the delivery of high-quality, compliant, and person-directed services that support accessibility, autonomy, and inclusion in community living.