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 client’s existing home setting.

Eligibility is based on the member’s medical condition, and the following requirements.  

Home modifications must: 

  1. Be necessary to ensure the health, welfare and safety of the member, and
  2. Enable the member to function with greater independence in the home, and
  3. Be required due to the client’s illness, impairment or disability, as documented on the ULTC-100.2 form and the care plan; and 
  4. Prevents institutionalization of the member. 

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. 

Home Modification benefit is available in the following Home and Community-Based Waivers: