1. (A) Conditions of Payment.

   1. (1) Home accessibility adaptations are covered only when the participant would be unable to reside in the participant’s home without the accessibility adaptations and the adaptations enable the participant to function with greater independence within the participant’s home.
   2. (2) All home accessibility adaptations must be provided in accordance with applicable state and local building codes.

2. (B) Nonpayable Services. Home accessibility adaptations are not covered when the adaptations:

   1. (1) bring a substandard dwelling up to minimum standards or to make improvements to a residence that are of general utility (for example, new carpeting, roof repairs, or central air conditioning) and are not of direct medical or remedial benefit to the participant;
   2. (2) are required by law to be made by a landlord or other third party;
   3. (3) are made to a residential habilitation site, group home, or other provider-owned and - operated residential setting; or
   4. (4) add to the total square footage of the home, except when necessary to complete an adaptation (for example, in order to improve entrance and egress to a residence or to configure a bathroom to accommodate a wheelchair).

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-27

Provider Manual Series (130 CMR 630.000)

Transmittal Letter Date

Home- and Community-Based

Services Manual

HCBS-6 01/01/2025