North Carolina Home Modification Agency Policy Manual

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The North Carolina Home Modification Agency Policy Manual provides a comprehensive operational framework for agencies delivering home modification services to individuals with disabilities, aging-related needs, or chronic health conditions across the State of North Carolina. This manual aligns with the regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Medical Assistance (NC Medicaid) and the Division of Aging and Adult Services (DAAS), and complies with Medicaid Home and Community-Based Services (HCBS) Waiver programs, such as the Community Alternatives Program for Disabled Adults (CAP/DA) and the Innovations Waiver. The manual includes policies and procedures governing agency enrollment and approval, participant eligibility and needs assessment, home evaluations, ADA-compliant design and construction standards, procurement and installation of home modifications (e.g., ramps, grab bars, roll-in showers, widened doorways), contractor oversight, safety and quality inspections, staff qualifications and training, participant rights and protections, documentation and billing procedures, incident reporting, and quality assurance. It emphasizes individualized, cost-effective environmental modifications that promote accessibility, safety, and independence—enabling individuals to remain in their homes and communities rather than entering institutional settings. This manual serves as a foundational resource for home modification providers in North Carolina, ensuring the delivery of high-quality, compliant, and person-centered services that support aging in place and long-term community living.