Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-101 - Architectural modifications

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
The rules in this Section apply to architectural
				  modification (AM) services authorized by the Oklahoma Department of Human
				  Services (OKDHS) Developmental Disabilities Services Division (DDSD) through
				  Home and Community Based Services (HCBS) Waivers.
(b)
General information.
Architectural Modification services:
(1) are
				  provided by building contractors who have contractual agreements with the
				  Oklahoma Health Care Authority to provide Home and community Based Services.
				  Providers must meet requirements of the International Code Council (ICC),
				  formerly the Building Official and Code Administrators (BOCA), for building,
				  electrical, plumbing and mechanical inspections;
(2) include the installation of ramps,
				  grab-bars, widening of doorways, modification of a bathroom or kitchen
				  facilities
,
specialized safety adaptations such as scald
				  protection devices, stove guards, and modifications required for the
				  installation of specialized equipment, which are necessary to ensure the
				  health, welfare and safety of the member or that enable the member to function
				  with greater independence in the home;
(3) must be recommended by the member's Team
				  and included in the member's IP. Arrangements for this service must be made
				  through the member's case manager;
(4) are performed on homes of eligible
				  members who have disabilities that limit accessibility or require modifications
				  to ensure health and safety;
(5)
				  are provided based on the:
(A) assessment and
				  Personal Support Team (Team) consideration of the member's unique needs per OAC
				  317:40-5-101(b);
(B) scope of
				  architectural modifications per OAC 317:40-5-101;
(C) most appropriate and cost effective bid,
				  if applicable, ensuring the quality of materials and workmanship;
(D) lack of a less expensive equivalent, such
				  as assistive technology, that meets the member's needs; and
(E) safety and suitability of the
				  home.
(6) are limited to
				  modifications of two different residences within any seven year period
				  beginning with the member's first request for an approved architectural
				  modification service;
(7) are
				  provided with assurance of plans for the member to remain in the residence for
				  at least five years;
(8) may be
				  denied when DDSD determines the home is unsafe or otherwise unsuitable for
				  architectural modifications.
(A) DDSD area
				  office resource development staff with architectural modification experience
				  screens a home for safety and suitability for architectural modifications prior
				  to home acquisition.
(B) Members
				  needing home modification services and provider agencies assisting members to
				  locate rental property identify several homes, when possible, for screening in
				  order to select a home with the fewest or most cost effective
				  modifications;
(9) are
				  provided to eligible members with the homeowner's signed permission;
(10) are not authorized to modify homes
				  solely for family or staff convenience or for cosmetic preference;
(11) are provided on finished rooms complete
				  with wiring and plumbing;
(12)
				  services that do not meet the requirements of OAC 317:40-5-101 may be approved
				  by the DDSD division administrator or designee in exceptional circumstances;
				  and
(13) are authorized in
				  accordance with requirements of The Oklahoma Central Purchasing Act 74 O.S.,
				  § 85.1 et. Seq., Chapter 15 of Title 580 of the Department of Central
				  Services, and other applicable statutory provisions.