Home modifications

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A step by step guide to the LCBDD home modification process:

Step one: Preparation

  • Your Service Coordinator will complete the Service Needs Reassessment (SNR) form
  • You will also need:
      • A letter of medical necessity from an occupational or physical therapist.
      • A letter or email from the homeowner giving permission for the modification to be done (if you do not own the home.)
      • “Before” photos of the area where a modification is needed.

FYI

  • Talk to your Service Coordinator about the funding that is available to make sure there is enough to cover the cost.
  • Home modifications cannot add square footage to your home.
  • Roll-in showers are known to allow water to splash across the floor so please plan accordingly

Step two: Request approval

  • LCBDD’s Service and Support Review (SSR) committee must review the SNR form with the attached documents and give approval to obtain bids before the project can move forward.

FYI:

  • Once this step is completed, a LCBDD staff member will take on the next steps of the process.
  • If the committee does not approve the proposal, you have the right to appeal.

Step three: Bidding process

  • A LCBDD staff member will reach out to a group of contractors who are certified by the Ohio Department of Developmental Disabilities (DODD).
      • The contractors will provide bids, which explain how much it would cost to complete the work.
      • The chosen bid must be the least costly, most effective way to meet the person’s need.

FYI:

  • Contractors may request time to access your home so they can take measurements. Please assist in making these arrangements ASAP.
  • Home modifications funded by Medicaid must be completed with “building grade materials.”
  • If structural problems are found during the modification process, such as moldy sub flooring or  roof repair, the contractor may ask the homeowner to cover the cost of these issues so the work can continue. The waiver will not cover these costs.

Step four: SSR review

  • LCBDD staff will present the lowest bid to the SSR Committee. They will either:
      • Approve the request to modify the home.
      • Deny the request.
  • After the decision is made, a LCBDD staff person will contact your family to let you know the next steps.

FYI:

      • If the request is denied, you have the right to appeal.
      • If the request is approved, your Service Coordinator will add the information to your OhioISP and will ask for your signature.

Step five:  Construction

  • The contractor will schedule the work and your Service Coordinator will monitor the progress.  An agreed upon start and completion date will be established.
  • Once the job is finished, your Service Coordinator will meet with you to review the work and take “after” pictures.
  • If all the work is completed according to the subjective bid, you will be asked to sign an Environmental Modification form.

FYI:

  • Your family should meet with the contractor to understand the project

Click here to reference Ohio Administrative Code 5123-9-23 “Home and community based service waivers- environmental accessibility adaptations under the individual options and level one waivers.”