Ohio Home Modification Services Policy Manual

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The Ohio Home Modification Services Policy Manual provides a structured and state-compliant framework for delivering home modification services to eligible individuals under Ohio’s Medicaid Waiver programs. It is designed to ensure that all agencies and service providers adhere to regulatory requirements outlined in the Ohio Administrative Code (OAC) 5160-44-13 and 5123:2-9-54, along with applicable federal HCBS (Home and Community-Based Services) settings rules.
This manual guides agencies in implementing safe, effective, and person-centered environmental adaptations that allow individuals with disabilities and aging adults to remain in their homes safely and independently. It includes standardized protocols for client intake and assessment, environmental safety evaluations, construction and installation guidelines, staff training, emergency preparedness, financial management, and clinical coordination.
By incorporating policies aligned with state and federal mandates—including ADA accessibility standards, infection control practices, and cultural competency—this manual supports consistent service delivery, promotes equitable access to modifications, and fosters ongoing quality improvement. It is a critical tool for ensuring compliance, protecting client rights, and upholding the highest standards of safety and dignity in the modification of home environments for individuals enrolled in Ohio’s Medicaid Waiver programs.