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HOME MODIFICATION SERVICES PROVIDER IN NEW JERSEY

  • Writer: Fatumata Kaba
    Fatumata Kaba
  • Sep 5
  • 4 min read

IMPROVING ACCESSIBILITY AND SAFETY THROUGH CUSTOMIZED HOME ADAPTATIONS

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Home Modification Services in New Jersey support individuals with disabilities, chronic conditions, or mobility challenges by providing adaptive modifications to their living environments. These services help ensure that homes are safe, accessible, and conducive to independent living. Home Modification Services are authorized under New Jersey Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 

1. GOVERNING AGENCIES

Agency: New Jersey Department of Human Services (DHS)

Role: Administers Medicaid waiver funding for Home Modification Services and manages provider enrollment, service authorization, and reimbursement.

Agency: Division of Developmental Disabilities (DDD)

Role: Ensures quality standards, service delivery, and compliance for Home Modification Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Home Modification Services meet HCBS quality, person-centered planning, and participant protection standards.

 

2. HOME MODIFICATION SERVICES OVERVIEW

Home Modification Services are designed to make living environments more accessible and safe for individuals with physical or cognitive disabilities.

Approved providers may deliver:

  • Accessibility Improvements: Installation of ramps, widened doorways, and handrails.

  • Bathroom Modifications: Roll-in showers, grab bars, accessible sinks, and raised toilet seats.

  • Kitchen Adjustments: Lowered countertops, accessible cabinets, and adapted appliances.

  • Safety Enhancements: Installation of safety alarms, improved lighting, and slip-resistant flooring.

  • Mobility Aids: Stairlifts, vertical platform lifts, and grab bars.

  • Home Automation Integration: Smart home technologies for lighting, temperature, and security management.

  • Structural Modifications: Door widening, hallway adjustments, and entryway improvements.

All modifications are delivered according to the Individualized Service Plan (ISP) and based on a professional assessment of the participant’s needs.

 

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

  • Register the business entity with the New Jersey Division of Revenue and Enterprise Services.

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

  • Enroll as a Medicaid Waiver Home Modification provider via the New Jersey Medicaid Provider Enrollment Portal.

  • Obtain any required contractor licenses from the New Jersey Division of Consumer Affairs.

  • Maintain general liability and professional liability insurance.

  • Develop comprehensive policies for safety, project planning, and quality assurance.

  • Ensure contractors and subcontractors meet background checks and licensing requirements.

 

4. NEW JERSEY PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

  • Complete the Provider Enrollment Application through the New Jersey Medicaid Provider Enrollment Portal for Home Modification Services under HCBS waivers.

Application and Documentation Submission:

  • Submit Articles of Incorporation, proof of EIN/NPI, contractor licenses, insurance certificates, and policy manuals.

Program Readiness Review:

  • DHS and DDD evaluate provider readiness, including safety procedures, modification protocols, and contractor qualifications.

Approval & Medicaid Enrollment:

  • Upon approval, providers are authorized to bill Medicaid for Home Modification Services using designated billing codes.

 

5. REQUIRED DOCUMENTATION

  • Articles of Incorporation or Business License (New Jersey Division of Revenue)

  • IRS EIN confirmation

  • NPI confirmation

  • Contractor Licenses (if applicable)

  • Proof of general and professional liability insurance

  • Home Modification Services Policy & Procedure Manual including:

    • Safety and risk assessment protocols

    • Project planning and modification guidelines

    • Contractor vetting, background checks, and credential verification

    • Compliance with building codes, ADA standards, and safety regulations

    • Documentation standards for project tracking and Medicaid billing

    • Risk management and emergency preparedness procedures

    • Quality assurance and compliance monitoring

 

6. STAFFING REQUIREMENTS

Role: Home Modification Program Director

Requirements: Bachelor’s degree in construction management, healthcare administration, or related field; experience managing home accessibility projects.

Role: Licensed Contractors

Requirements: State contractor license; experience in home modifications for accessibility; background clearance.

Role: Accessibility Specialists

Requirements: Certification in home accessibility modifications (e.g., CAPS - Certified Aging-in-Place Specialist); background clearance.

All staff must complete:

  • Safety training and risk management education

  • HIPAA compliance and client rights training

  • Ongoing professional development and continuing education

  • Annual competency evaluations and safety protocol updates

 

7. MEDICAID WAIVER PROGRAMS

Home Modification Services are available under the following New Jersey Medicaid Waivers:

  • Community Care Program for the Elderly and Disabled (CCPED)

  • Supports Program Waiver

  • Acquired Brain Injury (ABI) Waiver

  • Personal Care Assistant (PCA) Waiver

  • Home and Community-Based Services (HCBS) Waiver

Services may include:

  • Installation of wheelchair ramps and accessible doorways

  • Bathroom accessibility improvements (e.g., roll-in showers, grab bars)

  • Kitchen modifications to accommodate mobility aids

  • Safety enhancements and adaptive equipment installations

  • Smart home integration for individuals with mobility impairments

 

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation

Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development

Timeline: 2–3 months

Phase: New Jersey Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing Setup and Home Modification Service Launch

Timeline: 30–45 days

 

9. CONTACT INFORMATION

New Jersey Department of Human Services (DHS)

Division of Developmental Disabilities (DDD)

New Jersey Division of Consumer Affairs

New Jersey Medicaid Provider Enrollment Portal

Centers for Medicare & Medicaid Services (CMS)

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NEW JERSEY HOME MODIFICATION SERVICES PROVIDER

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW JERSEY HOME MODIFICATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Home Modification Services in New Jersey, offering:

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Scope of Work:

  • Business registration, Medicaid enrollment, and licensing support

  • Policy manual development for accessibility planning and safety compliance

  • Staff credentialing, training program templates, and project documentation guidance

  • Medicaid billing setup and project management support

  • Branding, website development, and client engagement strategies

  • Quality assurance systems for safety monitoring and compliance

  • Collaboration with healthcare providers and community organizations for referrals




Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements. 

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