HOME MODIFICATION SERVICES PROVIDER IN CONNECTICUT

Fatumata Kaba
Jul 8
3 min read

ENHANCING SAFETY, ACCESSIBILITY, AND INDEPENDENT LIVING THROUGH CUSTOMIZED IN-HOME ADAPTATIONS

Home Modification Services in Connecticut provide physical adaptations to a person’s residence to support safety, mobility, and independence. These services are covered under several Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Acquired Brain Injury (ABI) Waivers, and the Personal Care Assistance (PCA) Waiver. Home modifications must be necessary, cost-effective, and authorized in the participant’s care plan.

1. GOVERNING AGENCIES

Agency: Connecticut Department of Social Services (DSS)

Role: Oversees waiver programs and authorizes funding for home modifications under Medicaid

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures waiver-funded home modifications comply with federal HCBS standards

Agency: Connecticut Department of Consumer Protection (DCP)

Role: Regulates contractors and businesses offering home improvement services

2. HOME MODIFICATION SERVICE OVERVIEW

Home modifications involve physical changes to a person’s home that improve accessibility, promote safety, and support community-based living. Modifications must directly relate to the individual’s medical or functional needs and be outlined in the care plan.

Approved providers may deliver:

Installation of ramps, grab bars, and stair lifts
Bathroom modifications (roll-in showers, raised toilets, widened doors)
Kitchen accessibility improvements (lowered counters, pull-out shelves)
Door widening and threshold adjustments
Visual and auditory alert systems
Adaptive flooring and non-slip surfaces
Pre- and post-installation assessments and documentation

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Home Improvement Contractor Registration from the Connecticut Department of Consumer Protection (DCP)
Apply to become an enrolled Medicaid provider through DSS (if billing directly)
Carry general liability and workers' compensation insurance
Use ADA-compliant designs and licensed subcontractors when required

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register as a Home Improvement Contractor with DCP

Submit application, business ownership information, and insurance documents

Step 2: Enroll with DSS (if billing Medicaid directly)

Apply through the Connecticut Medicaid Provider Enrollment Portal
Submit NPI, EIN, contractor registration, and service description
Identify applicable waiver programs served (e.g., CHCPE, ABI, PCA)

Step 3: Coordinate with Care Managers

Receive referrals and service authorizations through care teams managing participant plans

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Home Improvement Contractor registration
Medicaid enrollment approval (if applicable)
Policy & procedure manual including:
- Intake and home assessment procedures
- Pre-authorization, estimate, and bid documentation
- Installation timeline, safety plan, and quality checks
- Client consent forms and warranty policies
- ADA compliance reference guides and accessibility checklists
- Incident reporting and contractor oversight protocols
- Final inspection and post-service verification logs

6. STAFFING REQUIREMENTS

Role: Project Manager / Home Modification Coordinator

Requirements: Experience in construction, occupational therapy, or accessibility planning

Role: Contractor / Installer / Technician

Requirements:

Valid Connecticut contractor registration or trade license
Background checks and insurance coverage
Knowledge of ADA guidelines and accessibility best practices

Training Requirements for All Staff:

Safety protocols and installation quality standards
Working in homes of vulnerable populations (confidentiality and respect)
Documentation and Medicaid billing compliance (if enrolled)

7. MEDICAID WAIVER SERVICES

Home Modifications are reimbursed under:

Connecticut Home Care Program for Elders (CHCPE)
Acquired Brain Injury (ABI) Waivers I & II
Personal Care Assistance (PCA) Waiver
Medically Complex Children’s Waiver (for pediatric accessibility needs)

Approved providers may deliver:

Physical adaptations to enhance independence and reduce institutional risk
Coordination with care managers, therapists, and families
Pre- and post-project documentation, including photos and receipts
Cost-effective solutions that align with the participant’s care goals

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: DCP Contractor Registration

Timeline: 2–4 weeks

Phase: DSS Medicaid Enrollment (if applicable)

Timeline: 30–60 days

Phase: Referral Coordination and Readiness

Timeline: Ongoing

9. CONTACT INFORMATION

Connecticut Department of Social Services (DSS)

Email: dss.ctmedical@ct.gov

Website: https://portal.ct.gov/DSS

Connecticut Department of Consumer Protection (DCP)

Phone: (860) 713-6100

Website: https://portal.ct.gov/DCP

Connecticut Medicaid Provider Enrollment Portal

Website: https://www.ctdssmap.com

HOME MODIFICATION SERVICES PROVIDER IN CONNECTICUT

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

We help contractors, accessibility experts, and home renovation companies launch Medicaid-compliant Home Modification Services under Connecticut’s waiver programs.

Scope of Work: