HOME MODIFICATION SERVICES PROVIDER IN ARIZONA

Fatumata Kaba
6 days ago
3 min read

ENHANCING SAFETY AND ACCESSIBILITY THROUGH STRUCTURAL MODIFICATIONS FOR INDIVIDUALS WITH DISABILITIES

Home Modification Services in Arizona help individuals with disabilities maintain independence by making structural changes to their homes. These services are available under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, and are coordinated through the Division of Developmental Disabilities (DDD) or the individual’s Managed Care Organization (MCO).

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)

Role: Oversees Medicaid enrollment, authorizes reimbursement, and monitors compliance for home modification services

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)

Role: Approves providers serving individuals with developmental disabilities and coordinates home modification referrals

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures modifications comply with HCBS community integration standards

2. HOME MODIFICATION SERVICE OVERVIEW

Home Modification Services include physical adaptations to an individual’s primary residence to ensure accessibility, safety, and continued community living. These modifications must be medically necessary and align with the participant’s person-centered service plan.

Approved providers may deliver:

Installation of wheelchair ramps and grab bars
Widening of doorways and hallways
Roll-in shower conversions or accessible tubs
Lowering of countertops or cabinetry
Installation of stair lifts, handrails, and non-slip flooring
Modifications to improve access to bedrooms, bathrooms, and entrances/exits
Coordination with contractors, inspectors, and funding sources
Documentation of completed work and client satisfaction

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Arizona Corporation Commission
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Qualified Vendor through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)
Obtain necessary local construction licenses and insurance
Hire licensed and bonded contractors or subcontractors
Maintain general liability and workers' compensation insurance
Develop service tracking and documentation systems

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Orientation and Pre-Application

Attend the DDD Qualified Vendor orientation
Review policies on home safety, project scope, and allowable modifications

Step 2: Submit QVADS Application

Include documentation such as:
- Business and service plan
- Contractor licensing and bonding information
- Sample modification approval and completion forms
- Safety inspection protocols and participant feedback forms

Step 3: Review and Agreement

Upon approval, provider signs a Qualified Vendor Agreement
Services are listed in the Qualified Vendor Directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
QVADS registration (if applicable)
Local or state contracting license(s)
Policy & Procedure Manual including:
- Intake and assessment coordination
- Contractor vetting and construction standards
- Safety, ADA, and building code compliance
- Incident prevention and emergency response
- Informed consent, project tracking, and quality control
- Client rights and grievance procedures
- Documentation of cost estimates, before/after photos, and sign-off forms
- Warranty, repair, and follow-up procedures

6. STAFFING REQUIREMENTS

Role: Home Modification Project Coordinator

Requirements: Experience with home renovations, ADA compliance, or disability services

Role: Contractor / Construction Technician

Requirements:

Arizona general contractor license or subcontractor agreement
Bonded and insured
Background check (especially if working in participant homes)

Training Requirements for All Staff:

ADA standards and accessible construction
Health and safety compliance
Incident documentation and reporting
Customer service and disability awareness training

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Home Modification Services:

ALTCS – Division of Developmental Disabilities (DDD) Waiver
ALTCS – Elderly and Physically Disabled (EPD) Waiver
Children with Chronic Conditions (CCC) Waiver (case-by-case)

Approved providers may deliver:

Environmental accessibility adaptations (non-luxury)
Pre-approved structural modifications based on need
Coordination with support coordinators and MCOs
Documentation and verification of completed modifications

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Contractor Licensing and Bonding

Timeline: 2–4 weeks

Phase: QVADS Application and Review

Timeline: 60–90 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup

Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)

Email: DDDProviderRegistration@azdes.gov

Phone: (602) 542-6874

Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Health Care Cost Containment System (AHCCCS)

Email: ProviderRegistration@azahcccs.gov

Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

Arizona Registrar of Contractors: https://roc.az.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HOME MODIFICATION SERVICES PROVIDER

We help builders, contractors, and community-based agencies become approved providers of Medicaid-funded Home Modification Services under Arizona’s HCBS and ALTCS systems.

Scope of Work: