1. Learn about this resource. 

Residents receiving Medicaid can get free safety modifications to their home. Examples of modifications include:

  • Handrails

  • Shower seats

  • Chair lifts

This program is called the Environmental Accessibility Adaptation Services through Medicaid and is offered by the Department of Health Care Finance.

2. Check if you are eligible.

You are eligible if all of these statements are true:

  • Your home is in DC. 

  • You are a senior (65+) or you are an adult (18+) with a disability.

  • Your individual monthly income is at or below $2,313. To calculate your income add together your wages, salaries, tips, union strike benefits, self-employment earnings, Veteran’s Administration benefits, private pensions, Social Security Income, Supplemental Security Income, Railroad Retirement, Civil Service Retirement, Interest, Dividends, Investments, and Income from rental properties. 

  • Your individual assets are valued at or below $4,000 or at or below $6,000 if you are married. Examples of assets include money in your checking, savings or investment accounts, and the cash value of your life insurance policies. If you own property, your primary residence is not counted as an asset as long as it is assessed at less than $878,000. All other property is counted. If you own one car, it is not counted. If you own more than one car, then the car with the highest average trade-in value (according to the National Automobile Dealers Official Used Car Guide) is counted. 

  • You have been denied renovations through the District’s Safe at Home program.


This program is open to homeowners and renters.

make safety modifications to your home with Medicaid?


3. Apply.

Contact the DC Aging and Disability Resource Center at (202) 724-5626, Monday to Friday between 8:30am to 4:30pm. You’ll be referred for a clinical needs assessment, which will help us—the DC Government— understand the level of assistance you need for daily activities. The assessment will be conducted by our partner, Liberty Healthcare at your home. During the COVID-19 pandemic assessments can be done by phone or video conference. You can apply at any time.

4. Gather more information.

What happens after I apply?

  1. You will receive a notice in the mail informing you if you meet the level of care requirements to enroll in the program.
  2. If you are eligible, we—DC Government—will complete a Medicaid Long-Term Care Application on your behalf.
  3. The DC Department of Human Services will review the application.
  4. If you are approved, you’ll be referred to a DC Department of Human Services case manager who will meet with you to develop a service plan that details the proposed safety modifications to make in your home.
  5. The case manager will apply for financial assistance through The District’s Safe at Home program on your behalf. If you are denied, you will receive your safety modifications through the Environmental Accessibility Adaptation Services program.
If you are not approved for support you will receive a letter mailed to your home notifying you. It will include information on how to appeal the denial of service.

Who should I contact if I have questions?

First, take a look at the frequently asked questions at the bottom of the page. If you still have questions, please reach out to our team at (202) 724-5626, Monday to Friday between 8:30am to 4:30pm.

I still need help making my home safe. What should I do?

You can find information about other resources that might help make your home safer on our resource page.

Frequently Asked Questions

What happens during the clinical needs assessment? During the assessment, a staff member from Liberty Healthcare will see how much help you need to go about day-to-day activities, such as grooming, preparing meals, and house cleaning.

Do all eligible applicants receive safety modficiations in their home?

Yes, all eligible applicants receive safety modifications.

This resource is provided by:

Keywords: safety modifications, chairlift, handrail, older adult, physical disability, income limits, elderly, old, age-in-place, senior citizen, renovate, stairlift


This page was last updated April 2021.

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