Home modifications services

Under the Medicaid Transformation Project (MTP 2.0), the Health Care Authority (HCA) has been approved by the Centers for Medicare & Medicaid Services (CMS) to provide home modifications services. These services promote the health, welfare, and safety of an individual by providing accessibility modifications, remediations, and adaptations to their home.

On this page

Why are home modifications services important?

Home modifications increase the independence, safety, and health of the individual living in the home. Home modifications can support people as their mobility needs change, eliminate environmental hazards, and prevent moves to institutional settings. Home modifications make a home more livable and help an individual remain in their setting of choice.

There are three main services under this program:

  • Home accessibility modifications: Services that improve access, increase safety, or reduce health safety risks by improving the home with a reasonable modification.
  • Remediation services: Services that address identified safety risks of a home by providing a remediation that will improve the health and safety of an individual in their home.
  • Adaptation home devices: Services that supply, deliver, and install a home device to treat or prevent a medical need.

Who is eligible for the home modifications services?

Individuals must meet specific criteria to be eligible for home modifications services. Individuals must:

  • Be enrolled in Apple Health (Medicaid).
  • Meet certain social and clinical risk factors that require the use of accessibility home modifications, remediation services, or adaptation home devices.

Individuals must also qualify and be served by one or more of the following programs:

Individuals may also qualify if they are:

  • Transitioning from a hospital stay.
  • Recently released from incarceration.

Additional eligibility information will be available in the HRSN Billing Guide.

Service information

Home modifications services are set to launch in 2026 through HCA's partnership with the Department of Social and Health Services (DSHS). Currently, home modifications services are available for clients served by:

For questions on eligibility or whether you or someone you are working with is a current client, contact your local HCS or DDA office.

Resources

Contact

For questions about home modifications services across the state:
Visit your local: Area Agency on Aging (AAA)

For questions about eligibility:

For general questions about the program:
Email: HCA Medicaid Transformation