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Division of Senior and Disabilities Services
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Environmental Modification (E-Mod) Home Accessibility Program


Alaskans who are ill, frail or injured may need a wheelchair ramp or other changes to their home to maintain their independence. If they are eligible for one of Alaska's Medicaid waivers, the state “environmental modification,” or E-Mod service may help pay for accessibility construction projects.

When waiver program recipients need accessibility modifications done to their home, they contact their waiver program care coordinator. The care coordinator assists recipients and guardians with determining what modifications are needed and requests cost estimates from Medicaid certified contractors. Modifications have a cost cap of $18,500 that is renewable every 3 years. Senior & Disabilities Services (SDS) approves all project estimates, and the care coordinator manages the necessary paperwork submissions to SDS. Once projects are finished, the contractor requests reimbursement through Conduent, the company that handles Alaska Medicaid billing. Conduent then pays the contractor the previously authorized costs.