Home/Environmental Modifications

• Environmental modifications (E-Mods) are physical adaptations to the home that can increase or maintain one’s ability to live at home with independence. These improvements address any safety issues a person may have. E-Mods include but are not limited to ramps, lifts, hand rails and bathroom modifications (such as roll-in showers).  

• In addition to physical modifications to the home, E-Mods can include modifications that address sensory deficits, such as Braille identifications systems, strobe light smoke detectors, and alarm devices or modifications that promote a safer environment for people with challenging behaviors.

Where to begin:

• Step 1: Reach out to your care manager to get started and learn about the e-mod process. Explore the resources below:

  • OPWDD Comprehensive Waiver E-Mod Process:

    • To be eligible for E-Mod services through OPWDD, you must be enrolled in the Home and Community-Based Services Waiver

    • Please note that all applications must be sent by your care manager to the regional email for OPWDD at opwdd.sm.region2.emods@opwdd.ny.gov

    • For questions regarding the E-Mod process via OPWDD, contact:

      • Monica DeSanto, AT/EM Coordinator for CNY (covering Cayuga, Cortland, Herkimer, Lewis, Madison, Oneida, Onondaga, and Oswego counties)

        • Email: monica.desanto@opwdd.ny.gov

    • Resources:

      • Please remember that care managers facilitate the E-Mod process, so they should complete and submit all documentation for an E-Mod application.

        • Care Manager Checklist for an environmental modification request

        • Application for Environmental Modifications (OPWDD Region 2 - Central New York)

        • Clinical Justification Outline

        • Directory of OPWDD agencies that provide home modifications

        • Directory of care coordination organizations

• Examples of equipment that is included in a home modification:

  • Ramps

    • Modular; Portable; Threshold

    • Info Sheet for Families

    • Info for Therapists/Care Managers

      • Sample LMN

      • Checklist

  • Stair lifts

    • Straight; Curved; Incline; Vertical; Residential Elevator

    • Info Sheet for Families

    • Info for Therapists/Care Managers

      • Sample LMN

      • Checklist

  • Tracking system

    • Info Sheet for Families

    • Info for Therapists/Care Managers

      • Sample LMN

      • Checklist

  • Bathroom modifications

    • Info Sheet for Families

    • Info for Therapists/Care Managers

      • Sample LMN

      • Checklist

• General information about home modifications from local vendors:

  • Numotion

  • National Seating & Mobility