Page posted: 10/1/03
Page reviewed: 11/8/17
Page updated: 11/20/18
Environmental accessibility adaptations (EAA): Physical adaptations to a person’s primary home or primary vehicle to ensure his/her health and safety or that enable him/her to function with greater independence.
A person is eligible to receive this service if the home or vehicle modification is:
EAA includes assessments and installations of home and vehicle modifications. See specific sections for services covered under each part. For additional guidance and clarification (e.g., new construction, used vehicle modifications, etc.), see:
This part of the EAA service covers the assessment to determine a person’s home modification needs.
This part of the EAA service covers labor, portable or permanent equipment, materials, devices and systems that are integral to the home modification project. Examples include, but are not limited to:
This covers the assessment to determine a person’s vehicle modification needs.
This covers labor, equipment, materials, devices and systems that are integral to the vehicle modification project. Examples include, but are not limited to:
Environmental accessibility adaptations do not cover modifications that:
Examples of non-covered services include, but are not limited to:
The following service limits do not apply when the person receives an approved modification based on additional square footage.
AC and EW
Under the AC program and EW, the person may receive up to $20,000 of environmental accessibility adaptations per service-agreement/waiver year.
BI, CAC, CADI and DD
Under the BI, CAC, CADI and DD waivers, the person may receive up to $40,000 of environmental accessibility adaptations per year.
For this purpose, a year is calculated based on a 365-day period. DHS determines the 365-day span by counting back from the service agreement header end-date. It may include previous service agreements if the 365 days crosses previous service agreements. Once the service limit has been reached, additional spending must wait until the next year, or the lead agency may request an exception.
The lead agency may request an exception from DHS to exceed the annual limit for a person on the BI, CAC, CADI or DD waiver. Approved exceptions allow the lead agency to authorize an additional $40,000. This additional $40,000 comes from the person’s EAA budget for the following service-agreement year. Given an approved exception, the person may receive a maximum of $80,000 of environmental accessibility adaptations during a two-year period.
The lead agency may use this service to increase the square footage of an existing home only when the increase is necessary to build or modify a wheelchair accessible bathroom. The lead agency must receive DHS approval to do so. For more information, see CBSM – EAA – Additional square footage.
See CBSM – Additional information about EAA for policies about the following:
For more information on enrollment requirements, see CBSM – Waiver/AC service provider overview.
To perform an assessment for home modifications, the individual or agency provider must have at least one year of experience with home modification assessments and be one of the following:
To install a home modification, the individual or agency provider must be qualified by professional certification or references to install, repair and/or maintain the home modification. The provider must install the home modification in accordance with applicable state and local building codes.
A provider who meets the definition of residential building contractor as defined in Minn. Stat. §326B.802, subd. 11 must have a license as a residential building contractor.
A provider who exclusively does small installation projects (e.g., grab-bars, ramps) is exempt from licensure when the skills he/she performs meet the definition of “special skill” as defined in Minn. Stat. §326B.802, subd.15.
To perform an assessment for vehicle modifications, the individual or agency provider must meet one of the following four sets of requirements:
1. Be a certified driver rehabilitation specialist
To install a vehicle modification, the individual or provider agency must:
Authorization, rates and billing
Environmental accessibility adaptations are market-rate services. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).
Environmental accessibility adaptations may be authorized and provided before a person’s discharge from an institution if:
The lead agency only may bill the waiver for service after the person enrolls.
If the person does not enroll on the waiver for an unforeseen reason (i.e., death or a significant change in condition), the lead agency may request reimbursement for expense(s) it incurred in anticipation of the person enrolling. For more information, see CBSM – Waiver/AC reimbursement for unforeseen circumstances.
CBSM – Additional square footage