ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS (EAA) SERVICES PROVIDER IN DELAWARE

ENHANCING HOME SAFETY AND ACCESSIBILITY THROUGH STRUCTURAL MODIFICATIONS FOR INDIVIDUALS WITH DISABILITIES

Environmental Accessibility Adaptations (EAA) Services in Delaware involve physical modifications to an individual's home that enable greater independence, safety, and accessibility. These services are available through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are authorized as part of a participant’s Individual Service Plan (ISP).

1. GOVERNING AGENCIES

Agency: Delaware Division of Developmental Disabilities Services (DDDS)

Role: Approves and authorizes home modification services under the Lifespan Waiver

Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)

Role: Oversees Medicaid billing and waiver reimbursement for EAA services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures federal compliance with Medicaid HCBS waiver rules and safety standards

2. ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS SERVICE OVERVIEW

Environmental Accessibility Adaptations are permanent or semi-permanent modifications made to a participant’s primary residence to improve access and eliminate physical barriers related to mobility, safety, or independence.

Approved providers may deliver:

• Wheelchair ramps, lifts, and widened doorways

• Roll-in showers, grab bars, and accessible toilets

• Kitchen modifications for reach and maneuverability

• Lowered counters, switches, or appliances

• Installation of handrails, stair lifts, or transfer supports

• Structural modifications as outlined in an approved bid with justification

• Project planning, cost estimation, documentation, and post-completion verification

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Delaware Division of Corporations

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

• Enroll as an EAA provider under the Delaware Lifespan Waiver

• Hold a valid Delaware contractor license (or partner with a licensed subcontractor)

• Provide ADA-compliant installation and modifications

• Carry general liability and workers’ compensation insurance

• Maintain HIPAA-compliant documentation systems

• Submit detailed bids with cost justification and photos (before/after)

4. PROVIDER ENROLLMENT PROCESS

Step 1: Business Registration and Licensing

• Secure appropriate contractor licenses and business credentials

Step 2: Apply with DDDS as an Environmental Accessibility Adaptations provider

• Submit company profile, proof of licensure, insurance, and sample project documentation

Step 3: Coordinate with case managers and support coordinators

• Receive referrals for home assessments, bidding, and project execution

Step 4: Enroll with Delaware Medicaid (DMAP) if required for billing reimbursement

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration

• IRS EIN Letter

• NPI confirmation

• Contractor license (general contractor, ADA installer, or remodeling specialist)

• DDDS provider approval

• Liability and workers’ comp insurance

• Policy & procedure manual including:

  • Intake and home assessment protocol

  • Bid submission and cost justification templates

  • Safety guidelines and ADA compliance checklists

  • Before-and-after documentation policies

  • Consumer consent forms and privacy agreements

  • Incident and warranty tracking forms

  • Staff licensing and subcontractor agreements

6. STAFFING REQUIREMENTS

Role: Contractor / Accessibility Technician

Requirements:

• Licensed general contractor or ADA renovation specialist

• Background checks and insurance coverage

• Experience working with individuals with disabilities

Role: Project Coordinator / Estimator (optional)

Requirements:

• Knowledge of home accessibility codes, Medicaid requirements, and cost estimation

• Skilled in communication with care teams and case managers

Training Requirements for All Staff:

• ADA and accessibility standards

• Client confidentiality and HIPAA basics

• Incident reporting and safety planning

• Cultural sensitivity and professionalism in home environments

7. MEDICAID WAIVER SERVICES

Environmental Accessibility Adaptations are reimbursed under:

• Delaware Lifespan Waiver (DDDS)

Approved providers may deliver:

• Home assessments and formal project proposals

• Structural and non-structural modifications to improve accessibility

• Follow-up evaluations and documentation of successful completion

• Coordination with care teams, families, and waiver case managers

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Licensing and Insurance Setup

Timeline: 2–4 weeks

Phase: DDDS Provider Enrollment

Timeline: 30–60 days

Phase: Referral Networking and Bid Submission

Timeline: Ongoing

9. CONTACT INFORMATION

Delaware Division of Developmental Disabilities Services (DDDS)

Phone: (302) 744-9600

Website: https://dhss.delaware.gov/dhss/ddds

Delaware Division of Medicaid and Medical Assistance (DMMA)

Phone: (302) 255-9500

Website: https://dhss.delaware.gov/dhss/dmma

Delaware Medicaid Provider Enrollment (DMAP)

Website: https://www.demap.dhss.delaware.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS PROVIDER

We help construction companies, home renovation contractors, and accessibility specialists become Medicaid-compliant EAA providers in Delaware.

Scope of Work:

• Business registration (LLC, EIN, NPI)

• Contractor licensing and liability insurance setup

• DDDS and Medicaid provider enrollment guidance

• Policy & procedure manual for assessments, installations, and compliance

• Templates for bid submissions, consent forms, and ADA checklists

• Website, domain, and email setup

• Staff credentialing trackers and safety protocols

• Client intake packet, project approval forms, and post-inspection documentation

• Incident reporting systems and audit preparation tools

• Referral networking with DDDS, care coordinators, and families

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