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Medicaid Waivers That Cover Home Modifications

Programs in 50 states and the District of Columbia list home modifications as a covered service. Each one links to the official source we read. Coverage depends on enrollment and approval, so check with the program directly.

Medicaid programs that list home modifications, by state
StateProgramService nameLast verified
AlabamaHome and Community-Based Waiver for the Elderly and Disabled (E&D Waiver)Home Modification2026-10-31
AlaskaAlaskans Living Independently (ALI) WaiverEnvironmental Modifications2026-10-31
ArizonaArizona Long Term Care System (ALTCS) — Elderly and Physically DisabledHome Modifications2026-10-31
ArkansasARChoices in HomecareEnvironmental Accessibility Adaptations/Adaptive Equipment2026-10-31
CaliforniaHome and Community-Based Alternatives (HCBA) WaiverEnvironmental Accessibility Adaptations2026-09-20
ColoradoElderly, Blind, and Disabled (HCBS-EBD) WaiverHome Modification2026-10-31
ConnecticutConnecticut Home Care Program for Elders (CHCPE)Environmental Accessibility Adaptations2026-10-31
DelawareDiamond State Health Plan Plus (DSHP Plus) long-term services and supportsMinor Home Modifications2026-10-31
District of ColumbiaElderly and Persons with Physical Disabilities (EPD) WaiverEnvironment Accessibility and Adaptation Services2026-10-31
FloridaStatewide Medicaid Managed Care Long-Term Care (LTC) WaiverHome Accessibility Adaptations2026-10-31
GeorgiaIndependent Care Waiver Program (ICWP)Environmental Modifications2026-10-31
GeorgiaElderly and Disabled Waiver Program (EDWP: CCSP and SOURCE) — transition servicesTransition Services and Supports (environmental modifications when moving out of a facility)2026-10-31
HawaiiQUEST Integration — home and community-based servicesEnvironmental Accessibility Adaptations2026-10-31
IdahoAged and Disabled (A&D) WaiverEnvironmental Accessibility Adaptations2026-10-31
IllinoisPersons with Disabilities WaiverEnvironmental Accessibility Adaptations2026-10-31
IndianaIndiana PathWays for Aging WaiverHome Modifications and Assessments2026-10-31
IowaElderly WaiverHome and Vehicle Modification2026-10-31
KansasFrail Elderly (FE) WaiverHome and Environmental Modification Services (HEMS)2026-10-31
KentuckyHome and Community Based (HCB) WaiverEnvironmental and Minor Home Adaptation2026-10-31
LouisianaCommunity Choices Waiver (CCW)Environmental Accessibility Adaptations2026-10-31
MaineElderly and Adults with Disabilities Waiver (MaineCare Section 19)Environmental Modifications2026-10-31
MarylandCommunity First Choice (CFC), including Home and Community-Based Options Waiver participantsEnvironmental Adaptations2026-10-31
MassachusettsFrail Elder Waiver (FEW)Environmental Accessibility Adaptation2026-10-31
MichiganMI Choice Waiver ProgramEnvironmental Accessibility Adaptations2026-10-31
MinnesotaElderly Waiver (EW)Environmental Accessibility Adaptations2026-10-31
MississippiElderly and Disabled (E&D) Waiver — community transition servicesHome Accessibility Adaptations (for people moving out of a nursing facility)2026-10-31
MissouriIndependent Living Waiver (ILW)Environmental Accessibility Adaptations2026-10-31
MontanaBig Sky WaiverEnvironmental Accessibility Adaptations2026-10-31
NebraskaHCBS Waiver for Aged and Adults and Children with Disabilities (AD Waiver)Home and Vehicle Modifications2026-10-31
NevadaHCBS Waiver for Persons with Physical Disabilities (PD Waiver)Environmental Accessibility Adaptations2026-10-31
New HampshireChoices for Independence (CFI) WaiverEnvironmental Accessibility Services2026-10-31
New JerseyNJ FamilyCare Managed Long Term Services and Supports (MLTSS)Residential Modifications and Remediation2026-10-31
New MexicoTurquoise Care Community BenefitEnvironmental Modifications2026-10-31
New YorkNursing Home Transition and Diversion (NHTD) WaiverEnvironmental Modification Services2026-10-31
North CarolinaCommunity Alternatives Program for Disabled Adults (CAP/DA) WaiverEquipment, Modification and Technology2026-10-31
North DakotaMedicaid Waiver for Home and Community Based ServicesEnvironmental Modification2026-10-31
OhioPASSPORT WaiverHome modification2026-10-31
OklahomaADvantage ProgramEnvironmental modifications2026-10-31
OregonK Plan (Community First Choice) services for older adults and people with disabilitiesHome/environmental modifications2026-10-31
PennsylvaniaCommunity HealthChoices (CHC) WaiverHome Adaptations2026-10-31
Rhode IslandMedicaid Long-Term Services and Supports — Home and Community-Based ServicesMinor environmental modifications and home modifications2026-10-31
South CarolinaCommunity Choices WaiverEnvironmental Modifications2026-10-31
South DakotaHOPE Waiver (Home-and-Community-Based Options and Person-Centered Excellence)Environmental accessibility adaptations2026-10-31
TennesseeTennCare CHOICES in Long-Term Services and Supports (Groups 2 and 3)Minor Home Modifications2026-10-31
TexasSTAR+PLUS Home and Community Based Services (STAR+PLUS HCBS)Minor Home Modifications (MHMs)2026-09-20
UtahAging Waiver (Waiver for Individuals Age 65 or Older)Environmental Accessibility Adaptations2026-10-31
UtahNew Choices WaiverEnvironmental Accessibility Adaptations – Home Modifications2026-10-31
VermontChoices for Care (High and Highest Needs)Assistive Devices and Home Modifications2026-10-31
VirginiaCommonwealth Coordinated Care Plus (CCC Plus) WaiverEnvironmental modifications2026-10-31
WashingtonCommunity Options Program Entry System (COPES)Environmental modifications2026-10-31
West VirginiaAged and Disabled Waiver (ADW)Environmental Accessibility Adaptations (Home and Vehicle)2026-10-31
WisconsinIRIS (Include, Respect, I Self-Direct)Environmental Accessibility Adaptations (Home Modifications)2026-10-31
WisconsinFamily CareHome modifications2026-10-31
WyomingCommunity Choices Waiver (CCW)Environmental Modification2026-10-31