D.C. Mun. Regs. tit. 29, r. 4240

Current through Register Vol. 71, No. 44, November 1, 2024

Rule 4240 - PROGRAM SERVICES: EAA

4240.1

In order to receive Medicaid reimbursement, in-home modifications for EAA services include, but are not limited to, the following:

(a) Installation of ramps and grab-bars or hand-rails;

(b) Widening of doorways;

(c) Installation of lift systems;

(d) Modifications of bathroom facilities; and

(e) Installation of specialized electric and plumbing systems necessary to accommodate medical equipment and supplies.

4240.2

Modifications or improvements to the home which are of general utility, meaning having no direct medical or remedial benefit to the recipient, shall not be reimbursed by Medicaid as allowable modifications for waiver services. Examples of disallowed EAA modifications include, but are not limited to, the following: carpeting; roof repair; and installation of central air conditioning.

4240.3

In- home modifications adding to the total square footage of the home shall be excluded from Medicaid reimbursement this benefit, except when necessary to complete an adaptation as determined by the Case Manager and DHCF or its designee.

D.C. Mun. Regs. tit. 29, r. 4240

Final Rulemaking published at 64 DCR 6787 (7/21/2017)