HOME MODIFICATION SERVICES PROVIDER IN NORTH DAKOTA

IMPROVING SAFETY AND ACCESSIBILITY THROUGH CUSTOMIZED HOME ADAPTATIONS

Home Modification Services in North Dakota help individuals with disabilities, chronic conditions, or age-related challenges by making physical adaptations to their homes. These modifications enhance safety, mobility, and independence, allowing individuals to live more comfortably within their community settings. Home Modification Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)

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

Agency: North Dakota Medical Services Division (MSD)

Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services

Role: Provides oversight for home modifications targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight to ensure Medicaid-funded Home Modification Services meet quality, safety, and person-centered care standards.

2. HOME MODIFICATION SERVICES OVERVIEW

Home Modification Services involve making changes to a home to improve accessibility, safety, and ease of use for individuals with physical or mobility limitations.

Approved providers may deliver:

• Accessibility Modifications: Installing ramps, widened doorways, and handrails.

• Bathroom Adaptations: Adding grab bars, roll-in showers, and raised toilet seats.

• Kitchen Modifications: Lowering countertops, installing pull-out shelves, and installing adaptive faucets.

• Safety Enhancements: Adding non-slip flooring, alert systems, and smoke detectors.

• Bedroom Modifications: Installing adjustable beds, ceiling lifts, and safety rails.

• Environmental Controls: Voice-activated lighting, thermostats, and door openers.

• Structural Adjustments: Widening hallways and reinforcing flooring for wheelchair use.

• Smart Home Integration: Automated lighting, alarms, and monitoring systems.

• Vehicle Modifications (if applicable): Installing wheelchair lifts or adaptive driving controls.

• Documentation: Keeping records of assessments, installation processes, and maintenance.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register the business entity with the North Dakota Secretary of State.

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

• Enroll as a Medicaid Waiver Home Modification provider via the North Dakota Medicaid Management Information System (MMIS).

• Maintain general liability and professional liability insurance.

• Develop policies for modification planning, safety compliance, and client satisfaction.

• Ensure staff complete required background checks, health screenings, and training in modification techniques.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Complete the Provider Enrollment Application via the North Dakota MMIS for Home Modification Services under HCBS waivers.

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, modification policies, and staff training documentation.

Program Readiness Review:

• NDDHS and MSD evaluate provider readiness, including modification protocols, safety standards, and staff 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 (North Dakota Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Proof of general and professional liability insurance

• Home Modification Policy & Procedure Manual, including:

  • Needs assessment and modification planning protocols

  • Safety and quality assurance procedures for installations

  • Staff credentialing, background checks, and ongoing training records

  • Documentation standards for service tracking and Medicaid billing

  • HIPAA compliance, participant rights, and grievance handling

  • Safety, hygiene, and emergency response protocols

  • Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Home Modification Program Director

Requirements: Bachelor’s or Master’s degree in construction management, rehabilitation technology, or healthcare administration; experience in home adaptation and program management.

Role: Modification Specialists

Requirements: Certification in construction or rehabilitation engineering; experience with adaptive modifications and accessibility improvements.

Role: Maintenance and Installation Technicians

Requirements: Experience in construction, carpentry, or equipment installation; certification in safety compliance preferred.

All staff must complete:

• Training in adaptive construction techniques, client safety, and modification compliance

• HIPAA compliance and participant rights education

• Annual competency evaluations and ongoing professional development

• Safety, emergency response, and client interaction training

• Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Home Modification Services are available under the following North Dakota Medicaid Waivers:

• Aged and Disabled Waiver

• Technology Dependent Waiver

• Developmental Disabilities Waiver

• Home and Community-Based Services (HCBS) Waiver

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: North Dakota Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch

Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)

Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)

Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)

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

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA HOME MODIFICATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Home Modification Services in North Dakota, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for adaptive home modifications and safety compliance

• Staff credentialing, training program templates, and compliance documentation

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and client outreach strategies

• Quality assurance systems for modification safety and compliance monitoring

• Collaboration with contractors, accessibility specialists, and community organizations

Continue To Our Client Portal To Get Started

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