Washington Home Modification Agency Policy Manual

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The Washington Home Modification Agency Policy Manual provides a comprehensive operational framework for agencies delivering home modification services to individuals with disabilities, chronic health conditions, and aging-related needs across Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Aging and Long-Term Support Administration (ALTSA) and the Developmental Disabilities Administration (DDA). It also complies with Medicaid Home and Community-Based Services (HCBS) waiver programs and supports provided through the Community First Choice (CFC) program. The manual includes policies and procedures governing agency enrollment and credentialing, participant eligibility and assessment, home environment evaluations, person-centered planning, project design and scope development, ADA-compliant installation and safety standards, contractor oversight, staff qualifications and training, participant rights and protections, emergency preparedness, incident reporting, documentation and billing, and quality assurance. It emphasizes individualized, cost-effective environmental adaptations—such as ramps, grab bars, widened doorways, and accessible bathrooms—that promote independence, reduce fall risk, and enable individuals to safely remain in their homes. This manual serves as a foundational resource for home modification providers in Washington, ensuring the delivery of high-quality, compliant, and person-directed services that support autonomy, safety, and community living.