HomeAdapt USHome modifications for older adults
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Plan a specific enquiry

Start with the job.
Choose the right help.

Describe the change you need, agree who assesses and who installs, then confirm the work and terms for your home.

Questions to take to the provider

  1. What daily task or access problem needs to improve, and which area of the home is involved?
  2. Does the local team serve this exact ZIP and perform this exact job?
  3. Is the first visit an equipment consultation, an independent OT assessment, a design service or a construction estimate?
  4. Who will assess, design, install and inspect the result? What are their names, roles and relevant license or designation details?
  5. What permits, trade licenses, property-owner permissions and inspections apply, and who will arrange them?
  6. Will I receive a written scope with materials, excluded work, total price, payment stages, start/completion expectations and change-order rules?
  7. What aftercare, training, maintenance, warranty and removal obligations apply to the proposed product?
  8. If I seek assistance, what local eligibility, waiting list, household contribution, lien or repayment conditions apply?
  9. Has the relevant payer or funding program approved this exact service, amount and provider before work begins?
  10. Are rental, repair, smaller changes or staged work suitable alternatives to the proposed installation?

Check the source and its limits

These are general buyer resources. They do not determine an individual clinical need, local code requirement or benefit entitlement. Confirm the requirements for the actual person, property, work and program.

United States

CAPS belongs to a professional

NAHB describes CAPS as an education designation and offers a directory of holders. Ask for the person who will handle the project and check that person's designation separately from the firm's contractor license.

Designation and legal license are different checks. This is an editorial distinction drawn from NAHB's holder directory and FTC license guidance; no listed person's status was checked.

Read the source ↗

Additional source · admin.nahb.org ↗

Additional source · consumer.ftc.gov ↗

Official public page inspected

U.S. states and territories

Check OT authority to practice

AOTA states that occupational therapy practice requires state licensure and distinguishes a state license from NBCOT certification. Check the assigned OT's authority for the state and service arrangement involved.

No practitioner registry was checked. Current license or compact privilege, scope and any applicable referral requirements need confirmation; a national certification alone is insufficient.

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Official public page inspected

United States

Separate assessment, design and construction

AOTA describes OTs making recommendations around a person's abilities, goals and daily activities, with possible follow-up on fit and use. Agree who assesses needs, creates the design, performs construction and checks the finished result.

A seller's equipment consultation is not established as a clinical OT assessment merely because it is called a home evaluation. Clinical and construction roles may be delivered by different people.

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Official public page inspected

State and local jurisdiction

Confirm local licenses and permits

FTC recommends confirming a contractor's license with state or county government and requesting proof of insurance. Before work, ask the local building authority which permits, trade licenses and inspections apply to this exact project.

Permit questions are an editorial buyer step, not a nationwide code determination. Requirements depend on location and work; a provider's blanket 'no permits' statement is not treated as a legal conclusion.

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Official public page inspected

United States; contract law varies locally

Compare the same written scope

FTC recommends multiple written estimates covering work, materials, completion and price. Request a written scope that identifies the assessor, installer, permits, excluded work, payment stages, warranties and follow-up.

Provider starting prices, finance payments and sample installations are not quotes for a reader's property. Contract and deposit rules vary by state.

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Official public page inspected

United States; ADA Title III

ADA claims need the correct setting

DOJ's Title III regulation excludes a private residence's exclusively residential portion from that part, while covering portions used for a public accommodation. Do not assume an ordinary private-home project must meet every commercial ADA specification.

Other laws, funding conditions, building codes and housing settings can create requirements. This directory does not determine legal compliance or supply design dimensions.

Read the source ↗

Additional source · access-board.gov ↗

Official public page inspected

United States; Medicare DME policy

Original Medicare is not general remodeling cover

CMS's patient-lift policy states home modifications are noncovered and structural work needed for a lift must not be claimed under that equipment benefit. Eligible equipment and structural remodeling are separate questions.

This source concerns patient lifts and associated structural work; it is not an individual benefit determination. No coverage claim is made for a particular device, OT visit or plan.

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Official public page inspected

United States; plan specific

Check the actual Medicare Advantage benefit

Medicare.gov explains that Advantage plans may offer extra benefits beyond Original Medicare. Ask the plan to confirm the exact home-safety benefit, eligibility, allowance, network and authorization before commissioning work.

The existence of extra benefits does not establish a home-modification benefit in every plan or for every enrollee. A provider's insurance-related marketing is not approval.

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Official public page inspected

United States; state/program specific

Medicaid pathways vary

CMS describes state-designed HCBS waivers with individualized plans; states may target certain areas and populations. Check the relevant state program, covered modification, provider approval and authorization before spending.

No state waiver benefit, slot, waiting list, financial eligibility or provider enrollment was checked. Medicaid and Medicare Advantage are not interchangeable.

Read the source ↗

Additional source · medicaid.gov ↗

Official public page inspected

United States; eligible Veterans and service members

VA HISA has a defined process and exclusions

VA HISA supports medically necessary access-related changes to a primary residence. Its process calls for medical justification and an itemized estimate; some portable equipment and routine repairs are excluded.

Ask the local VA Prosthetic and Sensory Aids Service about eligibility and remaining benefit before starting. No personal eligibility or current amount is determined here.

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Official public page inspected

United States; eligible Veterans and service members

VA adapted-housing grants are a separate route

VA's SAH and SHA grants concern specified service-connected disabilities and ownership conditions. They can support eligible housing adaptations; they are not a general senior remodeling grant.

The inspected page displays FY2026 limits while the check date is in FY2027. Dollar maxima are therefore intentionally omitted; confirm current limits with VA. HISA eligibility is not assumed identical.

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Official public page inspected

United States; HUD grant delivery

HUD funds local delivery organizations

The 2026 HUD Older Adults Home Modification opportunity supports eligible nonprofit and governmental delivery organizations. Individuals cannot apply for the organizational award; households must find an applicable local service program.

The organizational opportunity inspected is closed. It does not prove household intake, an award to a particular provider, available local funding or immediate work.

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Official public page inspected

Fayette County, Kentucky only

Local program criteria matter

Lexington's official program illustrates local conditions: Fayette County, age 62+, income at or below 80% of AMI and a qualifying primary residence. Its process separates licensed-OT evaluation from approved-contractor work.

This is an example, not a national eligibility template. Possible modifications are explicitly not guaranteed; intake, funding and individual acceptance were not checked.

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Official public page inspected

United States; eligible rural areas

Rural repair assistance is conditional

USDA's Section 504 program provides repair loans and eligible health/safety grants. It requires an eligible rural property, ownership/occupancy and financial conditions; grants also have an age requirement.

The page distinguishes loans from grants and notes repayment conditions. Address eligibility, household qualification, available funds and processing time require local confirmation.

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Official public page inspected

United States; affiliate specific

Nonprofit assistance is locally allocated

Rebuilding Together and Habitat use local affiliates with different eligibility and service scopes. Ask whether the affiliate serves the address, handles the requested job, is taking applications and has a waitlist or homeowner contribution.

A national program, no-cost claim or nearby affiliate does not confirm local availability, free service or job acceptance.

Read the source ↗

Additional source · habitat.org ↗

Additional source · rebuildingtogether.org ↗

Official public page inspected

United States

Use public resource directories as starting points

USC's ACL-supported HMIN links state policies, funding resources and programs; ACL's Eldercare Locator connects readers to local aging services. These can help identify assistance routes beyond commercial installers.

A directory entry is not current acceptance, endorsement, credential verification or a funding award. Confirm details with the responsible local organization.

Read the source ↗

Additional source · eldercare.acl.gov ↗

Official public page inspected