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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for or for providers.

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Medicaid TBI: Home Modifications

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About

Coverage Information Icon

Medicaid TBI

Diagnosis Group(s) Information Icon

Developmental Disability

Age Group(s) Information Icon

All, Adult, Child, 18-20

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR) and other required supporting documents to be submitted by Care Navigator

Service Codes & Descriptions

  • S5165 - Home Modifications

Service Description

  • Make changes to your home that keep you healthy and safe
  • Add things that make it easier to get around in your home, such as ramps and stair lifts
  • There is a $50,000 limit over the course of 5 years (the duration of the waiver) when combined with Assistive Technology, Equipment and Supplies

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/application-1915c-hcbs-waiver-nc1326r0102/download?attachment">Download PDF</a>