Home Modification Benefit

Home Modification is a Long-Term Services and Supports (LTSS) Health First Colorado (Colorado's Medicaid Program) benefit that allows for specific modifications, adaptations, or improvements in an eligible participant's existing home setting.

Home Modification benefit is available in the following Home and Community-Based Services (HCBS) Waivers:

Home Modifications are specific modifications, adaptations, changes, or improvements in your existing home setting which, based on your specific needs, are necessary to ensure your health, welfare and safety, enable you to function with greater independence in the home, and/or to prevent institutionalization or support deinstitutionalization. All modifications must be the most cost-effective means of meeting the need.

For waiver specific regulations about the home modification benefit, please review the Volume 8 Rules and Regulations 8.493 for Home Modification.

Home Modification, adaptations, or improvements may include, but are not limited to:

  • Installing or building ramps
  • Modifying bathrooms
  • Installing grab-bars and other durable medical equipment as part of a larger Home Modification Project
  • Widening doorways
  • Modifying kitchen facilities
  • Installing specialized electric and plumbing systems that are necessary to accommodate medically necessary equipment and supplies.

There is a $14,000 lifetime maximum for the Home Modification benefit for the Brain Injury waiver, the Community Mental Health Supports waiver, the Elderly, Blind and Disabled waiver and the Spinal Cord Injury waiver.

For Children's Extensive Support Waiver and Supported Living Services Waiver participants, the total cost of Home Accessibility Adaptations, Vehicle Modifications, and Assistive Technology shall not exceed $10,000 per Participant over the five-year life of the waiver.

Home Modification Forms

These forms were created to improve the HCBS Home Modification benefit. The goal is to reduce miscommunication, shorten timelines, and increase the quality of work and participant satisfaction. The forms were created with input from the Home Modification Stakeholder Workgroup. These forms will be required for use by all case managers, occupational/physical therapists, and providers.

OT/PT Home Modification Evaluation - Updated September 2018

  • This form is intended to make the recommendations clearer by prompting for common issues, such as ranking the modifications by priority, including detail that providers need about a participant's ability to use the recommended modifications, and an area for the therapist to write down the participant's requests. This form is completed by the therapist with input from the participant, then sent to the participant's case manager. The case manager then requests bids from providers based on the recommendations in the evaluation.

Home Modification Provider Bid Form - March 2017

  • This form, similar to the OT/PT Home Modification Evaluation form, is used to reduce changes from recommendations by therapists and proposed work by providers, as well as streamline the Department's approval process. These bids will be created by providers with input from the member and sent to the participant's case manager.

CES/SLS Client Statement of Understanding - 2019

  • This form identifies the participant's responsibilities and outlines the terms of agreement for the home modification project. This form must be signed prior to the start of construction.

EBD/CMHS/BI/SCI Client Statement of Understanding - 2019

  • This form identifies the participant's responsibilities and outlines the terms of agreement for the home modification project. This form must be signed prior to the start of construction.

Home Modification Property Owner Consent Form

  • This form authorizes the home modification to be completed at the participant's residence. The Consent Form outlines the scope of work to be completed and requires permission from the property owner prior to construction beginning.


Home Modification Training, Look Book and Specifications

Home Modification Webinars & Training

Home Modification Look Book - July 2017

Home Modification Construction Specifications - September 2018

Webinar: For Providers - Adding a New Specialty Type - December 2019

Home Modification Stakeholder Engagement Meetings

Home Modification stakeholder engagement meetings are held with the intention of improving current home modification processes to better align with industry best practices and to increase the accessibility and equitability of home modifications across all Health First Colorado HCBS Waivers.

All interested stakeholders are welcome to join these meetings.

The Department has received feedback from stakeholders who have identified opportunities to update elements of the Home Modification/Home Accessibility Adaptation benefit. The Department, in conjunction with the Division of Housing, will hold monthly stakeholder engagement meetings to discuss these opportunities. There will be time allotted during each engagement meeting for a “Question & Answer” segment for stakeholders to ask questions surrounding the Home Modification benefit.

Meetings occur on the 2nd Wednesday of the month from 1:00 - 2:30 pm

Next meeting:
January 12, 2022
1:00 - 2:30 pm

Webinar/Call-in Information:

Join with Google Meet: meet.google.com/npq-kbpz-nsy
Join by Phone: 1-440-256-6677, PIN: 832 806 811 #

Complete the Home Modification Stakeholder Feedback Form to submit any questions, comments, concerns, or future meeting topic suggestions. 

Meeting Documents

January 12, 2022

December 8, 2021

November 10, 2021

October 13, 2021

September 8, 2021 - Cancelled

August 11, 2021


Reasonable accommodations will be provided upon request for persons with disabilities.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request.  Please notify John Barry at 303-866-3173 or John.R.Barry@state.co.us or the 504/ADA Coordinator at hcpf504ada@state.co.us at least one week prior to the meeting to make arrangements.

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