A step by step guide to the LCBDD home modification process:
Step one: Preparation
- Work with your Service Coordinator to complete the Service Needs Reassessment (SNR) form]
- You will also need:
- A letter of medical necessity from a doctor
- A letter or email from the homeowner giving permission for the modification to be done (if you rent your home.)
- “Before” photos of the area where a modification is needed.
- 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.
- 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.
- LCBDD must receive at least three bids for each project.
- The lowest bid by a DODD certified contractor will be selected.
- 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.”
Step four: SSR review
- LCBDD staff will present the lowest bid to the SSR Committee. They have three options:
- Approve the request to modify the home.
- Deny the request.
- Ask for more information.
- After the decision is made, an LCBDD staff person will contact your family to let you know the next steps.
- Some requests will need to be approved by the Ohio Department of Developmental Disabilities after being approved at the local level.
- 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 ISP and will ask for your signature.
Step five: Construction
- Your Service Coordinator will work with the contractor to schedule the work and 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.
- All jobs are guaranteed for a year.
- Your family should meet with the contractor to understand the project
You may also reference Ohio Administrative Code 5123-9-23 “Home and community based service waivers- environmental accessibility adaptations under the individual options and level one waivers.”