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The Daily Check

Program

Medi-Cal home accessibility changes

Some Medi-Cal health plans pay for ramps, grab bars and other changes, with a lifetime limit.

What it can pay for

Official name
Medi-Cal Community Supports: Environmental Accessibility Adaptations (Home Modifications)
Where
CA
Status
Program running
Most it pays
$7,500 lifetime
About the amount
$7,500 LIFETIME maximum (exceptions: the member moves, or a major condition change requires more mods to avoid institutionalization). If the cap is hit while transitioning out of a nursing facility, Community Transition Services funds 'may be used for similar modifications.'
Housing rules
Owned, rented, leased, or occupied by the member; non-owners need the OWNER'S WRITTEN CONSENT for anything physically installed.
How long it takes
Assessment and authorization must happen within 90 days of the request (unless waiting on landlord consent or the member asks for more time). Construction time after approval not published.
How to apply
Call the member services number on your Medi-Cal plan ID card and ask for 'Community Supports - Environmental Accessibility Adaptations, home modifications'; family, guardians, and caregivers can request it on the member's behalf.
Does not pay for
Excludes aesthetic embellishments, improvements 'of general utility to the household,' and added square footage except to finish an access change (entrance/egress or wheelchair bathroom). DME (durable medical equipment, e.g. a portable ramp) must be used first if it would do the job.
Official source
dhcs.ca.gov
Last checked
April 1, 2025