Environmental modifications (EMOD) & home accessibility contractor · NJ & NY
Safer homes. More independent lives.
Wheelchair ramps, safer bathrooms, walk-in showers and tubs, lifts and grab bars, so you or someone you love can stay safely at home.
- NJ-registered contractor, insured
- Free home visit, no obligation
- Medicaid, VA & private pay
Professionals: Refer a client Partner with us
Learn more
Everything in one place
Pick a topic. No long scrolling.
What we do
Home modifications, done with care
For people with disabilities, seniors and veterans, and the case managers and programs that support them.
Who we serve
Every family, every home
We work with people of every age, background and ability across New York and New Jersey, and with the coordinators, agencies and programs that support them.
Who pays for it?
Most families don't pay out of pocket
Home modifications are often covered by a program or health plan. Tell us who supports you and we'll help you figure out the rest.
Not sure which applies to you? Call us, we'll walk you through it.
AB Access
How an accessibility job works
Every job follows the same path, and families, case managers and payers can follow along in our job portal.
- You reach out
You call, text or fill in the short form, or your case manager or coordinator refers you.
- Home visit
We measure every room and entry involved and photograph existing conditions.
- Written quote
Every item and price in writing, following your evaluation and your program's rules.
- Approval
You, or the program paying for it, approve the work. Nothing starts before that.
- Install
Scheduled with the family, with progress photos posted to the portal.
- Walk-through
We check everything with you, take after photos, and you sign off.
Before & after
Bathroom safety modification
A real bathroom we are working on. Finished photos coming soon.
BeforeWhat a bathroom safety modification can include
- Durable, easy-to-clean tubs and showers
- Anti-scald valves and easy-to-reach controls
- Sealed wall panels in place of broken tile
- Slip-resistant flooring and level thresholds
- Grab bars, safe mirrors and fixtures
- Permits, inspections and licensed plumbing
Every job is built to the person's own evaluation and approval. Nothing is added that the family or the program did not agree to.
Our promise
We treat every home like our own
A home modification is personal. Behind every ramp and every bathroom is a person with their own needs, routines, worries and pride. We take the time to listen, we explain every step in plain language, and we build around the person, not a template. That care is the part of our work we are proudest of.
Questions families ask
Simple answers
Does the home visit cost anything?
No. We come out, listen, measure and take photos at no charge.
Will you work with my support coordinator or case manager?
Yes. We work with coordinators, care managers, evaluators and health plans every day, and keep everyone updated in our job portal.
I'm a support coordinator. Where do I send the evaluation?
Use the secure upload link for the job. Tap Log in at the top of the page, open the participant's job and click Upload documents securely under Documents to add the OT/PT evaluation, approval letter, SDR or prior authorization. Please don't email evaluations or post health details in the portal. New referral? Send the referral first (initials only, no health details) and we'll open the job and send you the secure link.
When does the work start?
Only after the program or health plan approves it in writing. We'll tell you where things stand at every step.
Do I need to move out during the work?
Usually not. We keep a safe way in and out of the home and clean up every day.
Are you licensed and insured?
Yes. We are a registered New Jersey home improvement contractor (#13VH12878400), carry liability insurance, use licensed electricians and plumbers for that work, and are registered with a National Provider Identifier (NPI 1215831789) as a home modifications contractor.
Which areas do you serve?
Northern and central New Jersey, including Bergen, Passaic, Essex, Hudson, Morris, Union and Middlesex counties, and the Hudson Valley in New York, including Orange County. Rockland County, Westchester County and New York City are coming soon. Not sure if we cover your town? Call or text 929-442-2707.
I'm deaf, hard of hearing, blind or have low vision. Can you work with me?
Yes. You can text us at 929-442-2707, use WhatsApp or the chat on this site, or call through a relay service (711 or video relay). Ask for an ASL interpreter for your home visit. If reading is hard, call us and we'll fill in the forms with you over the phone. The Accessibility button at the top of every page makes text bigger, raises contrast and reads pages aloud.
Can I read this site in another language?
Yes. Tap the globe at the top of the page to translate the site into Spanish, Chinese, Russian, Haitian Creole, Yiddish and 100+ other languages.
Already working with us?
Log in to your portal
Approved scope, schedule, room-by-room measurements, before and after photos and updates for every job. Support coordinators and evaluators send evaluations and approvals through each job's secure upload link. Subcontractors upload insurance, sign agreements and track payments in the same place.
AB Access
Accessibility & home modifications
Ramps, bathrooms, lifts and home safety work for people with disabilities, seniors and veterans, built to the evaluator's specifications and the paying program's rules.
What we build
Who pays for it
Approved Acumen vendor (#312504) for NJ DDD environmental modifications. Ask us about your health plan or program and we'll tell you where we stand with it.
What families can expect
- A call back
We contact you or your case manager to understand the need.
- A home visit
We measure each room involved and take photos. No charge for the visit.
- A clear quote
Itemized, in plain language, matched to what the program covers.
- No surprises
Work starts only after the payer approves it in writing.
- Respect for your home
Protected floors, daily cleanup, and a crew that knows it's working in an occupied home.
- Your sign-off
We walk through the finished work with you before we bill.
Coordinator Center
Your steps, one at a time
For support coordinators, care managers, evaluators and discharge planners. Each step asks only for what that step needs.
- 1Refer the clientOpen step 1
- Initials, town and payer
- What's needed
- Home photos (optional)
- 2Send the evaluation resultsOpen step 2
- Evaluator and date
- Recommended work
- Report goes through a secure link
- 3Review our quoteOpen step 3
- Approve it for the payer, or ask for changes
- Date you submitted it
- 4Send the funding approvalOpen step 4
- Type of approval and date
- Amount and valid-through date
- Letter, SDR or PA through a secure link
- Landlord OK if rented
- 5Confirm the start dateOpen step 5
- Start window
- Notes for the crew
- 6Sign off the finished jobOpen step 6
- Walk-through date
- Complete or punch list
- Your signature
Evaluations, approval letters and anything with health details never go through these forms. We email a secure upload link instead.
For families
What happens, step by step
For participants, families, homeowners and tenants. Most families only fill in steps 1 and 5; we take care of the rest with your coordinator.
- 1Book a free home visitOpen step 1
- Your name and phone
- What would make the home easier
- 2Send photos of the home (optional)Open step 2
- Entrance, steps, bathroom
- No people or house numbers
- 3Home details and permissionOpen step 3
- Own or rent (landlord OK if renting)
- Best days, pets, parking
- Your permission to do the work
- 4Confirm the start dateOpen step 4
- Does the date work
- Who will be home
- 5Sign off and tell us how we didOpen step 5
- Everything finished?
- Anything still needed
- Your signature
Evaluations, approval letters and anything with health details never go through these forms. We email a secure upload link instead.
For subcontractors
Work with us, step by step
From applying to getting paid. Each step asks only for what that step needs, and every payment needs our approval.
- 1ApplyOpen step 1
- Company, trades and service area
- Crew size
- 2Insurance and tax papersOpen step 2
- Liability certificate (we're additional insured) and expiration
- Workers' comp or exemption
- W-9 and license
- 3Sign the subcontractor agreementOpen the portal
- Signed electronically in the vendor portal
- 10% deposit when assigned
- 4Report finished workOpen step 4
- Before and after photos
- Lien waiver and signature
- 5Send your invoiceOpen step 5
- Invoice number and amount
- Invoice file
- How you want to be paid
Evaluations, approval letters and anything with health details never go through these forms. We email a secure upload link instead.
Health plans, agencies & VA
Working with us, step by step
For Medicaid plans, fiscal intermediaries like Acumen, the VA and agencies.
- 1Add us as a vendorOpen step 1
- Organization and contact
- What you need from us
- 2Get our vendor documentsOpen step 2
- COI, W-9, license, NPI 1215831789
- Your vendor forms
- 3Send an authorization or POOpen step 3
- Date, amount and valid-through date
- Document through a secure link
- 4Billing or payment questionOpen step 4
- Invoice number
- Your question and any remittance
Evaluations, approval letters and anything with health details never go through these forms. We email a secure upload link instead.
Reviews
What customers say
Real reviews from families, coordinators and partners, published with their permission.
What customers say
We only publish real reviews from people we have worked with, with their permission.
Work with us
Subcontractors, crews & partners
We work with licensed and insured trades on accessibility and home modification jobs, and we hire carpenters, installers and helpers.
For subcontractors
Everything happens electronically in our subcontractor portal. Once we approve your application, you upload your general liability and workers' comp certificates, W-9 and license, and sign our subcontractor agreement online.
- Apply
Send your company details and trades.
- Complete your file
Insurance, W-9, license and e-signed agreement in the portal.
- Get assigned
Each job shows the work categories, room measurements and your price.
- 10% deposit
Paid electronically when you're assigned and your file is approved.
- Photos & waiver
Mark each category complete with before and after photos and an e-signed lien waiver.
- Get paid
The balance of each category is paid electronically after we approve the work.
Forms
Every form in one place
Pick the one that fits. Each goes straight to our office, and we answer within one business day.
Coordinators & care managers
Families
Subcontractors
Health plans, agencies & VA
For veterans and their families
VA grants for home changes
If you're a veteran with a service-connected or other qualifying disability, the VA can help pay for ramps, safer bathrooms, wider doors and more. We prepare the written quote the VA asks for and build to its requirements.
How we help
- Free home visit
We measure, take photos and listen to what would make daily life easier.
- Written quote for the VA
An itemized quote in the format the VA asks for, sent to you or your VA contact.
- VA approval
Nothing starts until the VA approves the work in writing.
- We build and check it with you
Insured crews, licensed electricians and plumbers for that work, a clean site every day, and a final walk-through.
Read more about VA grants for home modifications →
Grant rules and amounts are set by the VA and can change. Your VA care team or VA.gov has the latest eligibility details. We're happy to help you understand the paperwork.
For professionals
Work with us
For care managers, support coordinators, health plans, agencies, the VA, and the trades who build with us.
About us
Built on experience. Run with care.
AB Build & Access was founded and is led by Jay Yunger, with offices in New York, NY.
Jay's story
Jay Yunger has spent his career taking charge of buildings that needed someone to take charge of them.
Read Jay's full story
Before AB Build & Access, Jay founded Turnkey Capital, a renovation and restoration company that brought more than 2,000 apartment units back to life in markets outside New York. Full gut renovations, restorations and unit turnovers, done at scale, taught him how to plan a job down to the last fixture, keep crews and materials moving, and hand over a finished home that someone is proud to live in.
In New York City, Jay worked as a general contractor, managing the trades, permits, inspections and owners that come with building in one of the most demanding cities in the country.
Jay also knows the disability services world from the inside. Through his work with New Jersey's Division of Developmental Disabilities (DDD) system, he has seen how much a safe, accessible home means to a person and their family, and how the programs, support coordinators and fiscal intermediaries that pay for the work actually operate.
AB Build & Access brings it all together: the scale and discipline of a large renovation operation, the know-how of a New York general contractor, and a real understanding of the people and programs behind every accessibility job.
The path here
Three chapters, one standard
- Turnkey Capital
Renovation and restoration of more than 2,000 units. Systems, schedules and quality at scale.
- General contractor, NYC
Trades, permits, inspections and owners in the most demanding market in the country.
- AB Build & Access
Accessibility and home modifications for people with disabilities, seniors and veterans, built with the same discipline and a personal touch.
What we believe
Every customer is our only customer
We understand that every person, family and home is different, and we take their needs and concerns seriously. We pride ourselves on treating each customer as if they were the only one, from the first phone call to the final walk-through.
Contact us
Talk to a real person
Call, text, WhatsApp or send a message. We answer within one business day, usually the same day.
Refer a client
Who it's for: Case managers, support coordinators, health plans and discharge planners
Tell us what the client needs and who's paying. Use initials only. Please don't put full names, dates of birth, Medicaid numbers or diagnoses on this form; we'll get what we need by phone or through the secure job portal.
Send home photos for a job
Who it's for: Support coordinators, care managers, evaluators and families
Drop in photos of the areas we're working on. Use the job number from your portal invite if you have it, or the client's initials and town. No people, faces or house numbers in the photos.
Send an evaluation or approval securely
Who it's for: Support coordinators, care managers, evaluators and plans
Evaluations, approval letters, SDRs and prior authorizations contain health information, so they don't go through the website. Fill this in and we'll email you a secure upload link for that job within one business day.
Book a free home visit
Who it's for: Homeowners, seniors, veterans and families
Four quick questions. Email, who's paying and how to reach you are optional but help us prepare. We'll call or text you to pick a time. The visit is free and there's no obligation.
Want to tell us more about the home first? Use the detailed form or call 929-442-2707. We can also fill it in with you over the phone.
Received
Reference
Help us prepare for your visit (optional). Six quick questions about the home and who is paying, so we come ready and you get answers faster.
Answer 6 quick questionsRequest a home assessment
Who it's for: Families, homeowners and seniors
Tell us about the home and what would make it safer or easier to get around. We'll call to set up a visit and help you understand how the work can be paid for.
Received
Reference
Help us prepare for your visit (optional). Six quick questions about the home and who is paying, so we come ready and you get answers faster.
Answer 6 quick questionsApply to be a subcontractor
Who it's for: Trades and crews in New York and New Jersey
Tell us about your company. Approved subcontractors complete insurance, W-9 and the subcontractor agreement electronically in our portal, and get paid electronically: 10% deposit on assignment, the balance of each work category after completion photos and our approval.
Apply for a job
Who it's for: Carpenters, installers, helpers and office staff
Tell us what you do and when you can work. We'll contact you when we have an opening that fits.
Request our documents
Who it's for: GCs, owners, payers and agencies setting us up as a vendor
Tell us which documents you need and where to send them. We send insurance certificates, W-9 and vendor paperwork by email.
Partner with us
Who it's for: Health plans, support coordination agencies, fiscal intermediaries, the VA, hospitals and rehab centers
Add us to your provider or vendor list, request a credentialing packet, or invite us to present to your team.
Contact us
Who it's for: Anyone with a question
Send a message and we'll get back to you within one business day.
Received
Reference
Help us prepare for your visit (optional). Six quick questions about the home and who is paying, so we come ready and you get answers faster.
Answer 6 quick questionsSend the evaluation results
Who it's for: Support coordinators, care managers and evaluators
Tell us the evaluator's recommendations so we can quote exactly what will be approved. The report itself has health information, so we send you a secure upload link for it.
Review our quote
Who it's for: Support coordinators and care managers
Tell us whether the quote is ready to go to the payer, or what needs to change.
Send the funding approval
Who it's for: Support coordinators, care managers and plan staff
Tell us the approval came through. We'll email you a secure link for the approval letter, SDR or prior authorization. Work starts only after we have it.
Confirm the start date
Who it's for: Support coordinators and care managers
Confirm the start window works for the participant and family, and tell us anything the crew should know.
Sign off the finished job
Who it's for: Support coordinators and care managers
After the walk-through, confirm the work is complete so we can close the job and send the paperwork to the payer.
Home details and permission
Who it's for: Families, homeowners and tenants
A few details about the home so the crew is ready, and your permission to do the work.
Confirm the start date
Who it's for: Families
Tell us if the proposed start date works and who will be home.
Sign off and tell us how we did
Who it's for: Families
Confirm the work is finished and you're happy with it. If anything is missing, tell us here and we'll come back.
Insurance and tax papers
Who it's for: Subcontractors
Upload your current papers. We can't assign jobs until general liability, workers' comp (or exemption), W-9 and your license are on file.
Report finished work
Who it's for: Subcontractors
Mark a work category complete with before and after photos and your lien waiver. We inspect, approve and pay electronically.
Send your invoice
Who it's for: Subcontractors
Send the invoice for approved work. Payment goes out electronically after approval.
Send an authorization or purchase order
Who it's for: Health plans, fiscal intermediaries, the VA and agencies
Tell us an authorization or PO was issued. We'll email a secure link for the document itself.
Billing or payment question
Who it's for: Health plans, fiscal intermediaries, the VA and agencies
Questions about an invoice, a claim or completion paperwork.
Leave a review
Who it's for: Families, coordinators, agencies and partners who worked with us
Tell others what it was like to work with us. With your permission we publish your review with your first name, last initial and town. Please don't include health details.
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