ADAPTIVE EQUIPMENT SERVICES PROVIDER IN IDAHO

ENHANCING INDEPENDENCE, SAFETY, AND ACCESSIBILITY THROUGH CUSTOMIZED EQUIPMENT SOLUTIONS

Adaptive Equipment Services in Idaho provides individuals with disabilities, chronic conditions, or aging-related needs access to specialized devices and equipment that support their functional independence. These services are authorized under Idaho’s Medicaid Home and Community-Based Services (HCBS) waiver programs and Medicaid State Plan benefits, allowing participants to engage more fully in daily activities at home and in the community.

1. GOVERNING AGENCIES

Agency: Idaho Department of Health and Welfare (IDHW) — Division of Medicaid

Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Adaptive Equipment Services

Agency: Idaho Assistive Technology Project (IATP)

Role: Provides resources and guidance regarding assistive technology and adaptive equipment throughout Idaho

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight, ensuring Adaptive Equipment Services meet Medicaid HCBS standards and functional support goals

2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW

Adaptive Equipment Services include the assessment, selection, acquisition, customization, training, maintenance, and repair of equipment and devices that enable participants to maximize their independence and safety.

Approved providers may deliver:

• Functional assessments and recommendations for adaptive equipment

• Acquisition and customization of mobility devices (e.g., wheelchairs, walkers)

• Installation and training for communication aids (e.g., speech-generating devices)

• Delivery and training for environmental control units (e.g., adapted switches, smart home systems)

• Provision of daily living aids (e.g., adaptive utensils, grooming aids, grab bars)

• Repairs, replacements, and maintenance of authorized equipment

All services must align with goals outlined in the participant’s Individualized Service Plan (ISP) and directly support health, independence, and safety.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Idaho Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Enroll as a Medicaid provider through Idaho Medicaid Provider Enrollment

• Maintain general liability and product liability insurance

• Employ or contract with qualified professionals (e.g., Assistive Technology Professionals (ATP), Occupational Therapists, Physical Therapists) for assessments and recommendations

• Develop policies addressing intake, equipment selection, participant training, maintenance, and emergency repairs

4. IDHW PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Submit Provider Enrollment Application for Adaptive Equipment Services through Idaho’s Medicaid Management Information System (MMIS)

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staffing plans, and operational protocols

• Provide examples of assessment tools, equipment recommendation templates, participant training materials, and maintenance protocols

Program Readiness Review:

• IDHW reviews provider readiness, including participant protection standards, Medicaid billing compliance, service tracking systems, and quality assurance practices

Approval & Medicaid Enrollment:

• Upon approval, configure billing codes for Adaptive Equipment assessments, delivery, training, and repair services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Registration (Idaho Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Proof of general liability and product liability insurance

• HCBS-Compliant Policy & Procedure Manual including:

  • Participant intake, assessment, and service authorization procedures

  • Equipment selection, customization, and delivery protocols

  • Participant training and follow-up support processes

  • Emergency repair and maintenance systems

  • HIPAA confidentiality, participant rights, and grievance handling policies

  • Staff credentialing, background checks, and competency documentation

  • Medicaid billing, authorization tracking, and audit readiness systems

6. STAFFING REQUIREMENTS

Role: Adaptive Equipment Program Manager / Specialist

Requirements: Certification as an Assistive Technology Professional (ATP) preferred or equivalent healthcare experience; background screening clearance

Role: Adaptive Equipment Technicians / Delivery Specialists

Requirements: Experience in device setup, installation, and participant training; background screening clearance

All staff must complete:

• HIPAA confidentiality and participant rights training

• Equipment safety handling, installation, and user training programs

• Emergency response and maintenance troubleshooting training

• Annual refreshers on adaptive technology advancements and Medicaid compliance

7. MEDICAID WAIVER PROGRAMS

The following Idaho Medicaid Waivers authorize Adaptive Equipment Services:

• Aged and Disabled (A&D) Waiver

• Developmental Disabilities (DD) Waiver

• Children's Developmental Disabilities Waiver

Approved providers may deliver:

• Needs assessments and device evaluations

• Delivery and setup of adaptive equipment and assistive technology

• Participant and caregiver training on proper device usage

• Maintenance and repair services for Medicaid-funded devices

8. TIMELINE TO LAUNCH

Phase: Business Formation and Credentialing Setup

Timeline: 1–2 weeks

Phase: Idaho Medicaid Provider Application and Readiness Review

Timeline: 60–90 days

Phase: Staff Hiring, Credentialing, and Adaptive Equipment Procurement Setup

Timeline: 30–45 days

Phase: Medicaid Billing System Configuration and Claims Readiness

Timeline: 45–60 days

9. CONTACT INFORMATION

Idaho Department of Health and Welfare (IDHW) — Medicaid Division

Website: https://healthandwelfare.idaho.gov/services-programs/medicaid-health

Idaho Assistive Technology Project (IATP)

Website: https://idahoat.org/

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — IDAHO ADAPTIVE EQUIPMENT SERVICES PROVIDER

WCG supports adaptive equipment suppliers, therapy providers, and community-based organizations in launching Medicaid-compliant Adaptive Equipment Services under Idaho’s HCBS waiver programs.

Scope of Work:

• Business registration and EIN/NPI setup

• Medicaid provider enrollment assistance

• Development of Adaptive Equipment Services Policy & Procedure Manual

• Staff credentialing templates and participant intake/assessment forms

• Medicaid billing system setup and claims management

• Website, domain, and email setup

• Equipment intake, procurement, and maintenance documentation systems

• Quality assurance programs for equipment functionality and participant satisfaction

• Community networking and vendor partnership development strategies

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