HOME MODIFICATION SERVICES PROVIDER IN OKLAHOMA

Fatumata Kaba
Sep 8
3 min read

MAKING HOMES SAFER AND MORE ACCESSIBLE TO SUPPORT COMMUNITY LIVING AND INDEPENDENCE

Home Modification Services in Oklahoma help individuals with disabilities, chronic illnesses, or age-related needs live safely and independently in their own homes by making physical adaptations that reduce hazards and improve functionality. These services are authorized under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the ADvantage, Medically Fragile, and Developmental Disabilities Services (DDS) programs.

1. GOVERNING AGENCIES

Agency: Oklahoma Health Care Authority (OHCA)

Role: Administers SoonerCare (Medicaid), oversees provider enrollment, and processes reimbursement for approved home modifications.

Agency: Oklahoma Department of Human Services (OKDHS) – Aging Services & DDS

Role: Approves modification requests, coordinates waiver services, and monitors compliance.

Agency: Centers for Medicare & Medicaid Services (CMS)**

Role: Ensures services meet federal HCBS guidelines, including safety, necessity, and person-centered principles.

2. HOME MODIFICATION SERVICES OVERVIEW

These services provide structural or environmental changes to the home that support safety, accessibility, and increased independence for Medicaid waiver participants.

Approved providers may deliver:

Initial Home Assessments: Conducted with input from case managers, OTs/PTs, or environmental specialists.
Structural Modifications: Wheelchair ramps, widened doorways, accessible bathrooms, roll-in showers.
Safety Improvements: Handrails, grab bars, non-slip flooring, stair lifts, and emergency alert systems.
Accessibility Enhancements: Lowered countertops, adaptive cabinetry, doorway reconfiguration.
Entryway & Egress Improvements: Threshold leveling, lighting installation, automatic door openers.
Post-Installation Inspection: Verifying compliance with state codes and waiver specifications.
Documentation: Bids, work orders, progress photos, participant acknowledgments, and billing logs.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Oklahoma Secretary of State.
Obtain an EIN and NPI (Type 2).
Possess a valid Oklahoma contractor license (or subcontract with a licensed contractor).
Enroll as a Medicaid provider through OHCA under the relevant waiver category (e.g., EAA).
Maintain general liability, bonding, and workers’ compensation insurance.
Create a Home Modification Services Policy & Procedure Manual.
Ensure staff and subcontractors meet health and safety training requirements.

4. OKLAHOMA PROVIDER ENROLLMENT PROCESS

Step 1: Business Setup & Licensing

Form your legal entity, obtain licenses, and secure required insurance.

Step 2: Apply via OHCA’s SoonerCare Provider Portal

Choose "Environmental Accessibility Adaptations" (EAA) or similar service code.

Step 3: Complete OKDHS Waiver Registration (ADvantage, DDS, etc.)

Submit credentials, project portfolios, and sample documentation templates.

Step 4: Receive Referrals & Approvals

Begin service delivery after receiving participant-specific authorizations.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License
EIN and NPI confirmation
Proof of liability and bonding insurance
Contractor license (or proof of subcontractor license)
Home Modification Policy & Procedure Manual including:
- Intake and home assessment workflows
- Bid and estimate processes
- Participant safety and rights procedures
- Contractor vetting and supervision protocols
- Service delivery tracking and photo documentation templates
- Medicaid billing records and warranty follow-up logs