Home › Environmental modifications (E-mods) in New York
Environmental modifications (E-mods) in New York
Home accessibility changes through OPWDD, New York Medicaid programs and VA grants, for families in Orange County. Rockland County, Westchester County and New York City are coming soon.
- NJ-registered contractor, insured
- Free home visit
- Medicaid, VA & private pay

What E-mods cover
- Wheelchair ramps and step-free entries.
- Accessible bathrooms: roll-in showers, tub-to-shower conversions and grab bars.
- Stair lifts and porch lifts.
- Wider doorways, level thresholds and safer floors.
- Other changes named in the person's evaluation that help them live safely at home.
New York programs that pay for E-mods
- OPWDD: people with developmental disabilities in the HCBS waiver can get environmental modifications. The request goes through the person's Care Manager at their Care Coordination Organization.
- New York Medicaid (Community First Choice Option): can cover environmental modifications for eligible Medicaid members. The care manager or plan makes the request.
- NHTD and TBI waivers: include environmental modifications for older adults, people with physical disabilities and brain injury survivors.
- Veterans: VA HISA, SAH and SHA grants.
- Private pay: a clear written quote before anything starts.
Where we are with New York programs
We're completing vendor enrollment with New York programs now. Call or text 929-442-2707 and we'll tell you how your plan or program can pay for the work and whether we can take the job on. VA grant and private-pay work doesn't wait on enrollment.
How it works
- 1. The care manager, service coordinator or family requests the modification.
- 2. An evaluator documents what's needed.
- 3. We do a free home visit and write an itemized quote to the evaluation and the program's rules.
- 4. The program approves it.
- 5. We pull any permits, build it, and do a final walk-through with the family.
New York counties we serve
- Orange County
- Rockland County: coming soon
- Westchester County: coming soon
- New York City: coming soon
Questions people ask
What is an E-mod?
Short for environmental modification: a change to the home, such as a ramp, accessible bathroom or lift, that helps a person with a disability live there safely. OPWDD and New York Medicaid programs can pay for them.
Does OPWDD pay for home modifications?
Yes, for people enrolled in the OPWDD HCBS waiver, when the modification is needed and approved. Ask your Care Manager to start the request.
Do you work in New York City?
Not yet. New York City is coming soon. Today we serve Orange County. Rockland and Westchester counties are coming soon.
Free home visit, no obligation
We measure, listen and explain your options in plain language. Deaf or hard of hearing? Text us, or call through 711 or video relay.