Home Modification and Repairs for Older Adults: Challenges and Opportunities for State Units on Aging: This report by the USC Fall Prevention Center of Excellence and ADvancing States reports on a national survey
DIVISION OF SERVICES FOR AGING AND ADULTS WITH PHYSICAL DISABILITIES (State Unit on Aging)
State Units on Aging (SUAs) are designated state-level agencies that develop and administer state plans that advocate for and provide assistance, including home modifications or repairs, to older residents, their families, and adults with physical disabilities. SUAs administer funds, including Older Americans Act funds, which may be used to support home modification or repair services through local Area Agencies on Aging and other state and local entities. Other efforts include:
The Home Modification Program
Program Description: The statewide Delaware Home Modification Program pays for modifications to be made to the home of a person age 18 years or older with a permanent or long-term physical disability. Modifications are made to permanent residences only. Funds are made available when no other funding source is available or when funds from another source are not adequate to pay for the needed modifications.
Population Served: Delaware residents age 18 years or older who have a permanent or long term physical disability.
DELAWARE DIVISION OF MEDICAID & MEDICAL ASSISTANCE
1. Delaware Diamond State Health Plan (DSHP) Plus
Program Description: The Delaware Diamond State Health Plan is a Section 1115 Waiver program administered by Medicaid Managed Care Organizations. It provides minor home modification services up to $6,000 per project; $10,000 per year; $20,000 lifetime. It includes certain home mobility aids (e.g., wheelchair ramp, handrails for interior or exterior stairs or steps, grab bars) and minor physical adaptations to the interior of a residence to ensure the health, welfare and safety of the resident or that increase mobility and accessibility within the residence, such as widening of doorways or modification of bathroom facilities.
Population Served: Medicaid-eligible residents who meet the waiver criteria.
2. Money Follows the Person Demonstration (MFP): “Finding A Way Home” Program
Program Description: The Money Follows the Person Demonstration Program is a special project funded by the federal government and the Delaware Department of Health and Social Services Division of Medicaid and Medical Assistance to assist eligible individuals that choose to move from an eligible long- term care facility to an eligible residence in the community with available community services and supports. The program provides home accessibility modifications. There is a limit of $2,500 per lifetime.
Population Served: Medicaid-eligible individuals who have resided in an inpatient facility, are over the age of 65; between the ages 18-64 with a physical disability; or who have a developmental disability.
DELAWARE STATE ASSISTIVE TECHNOLOGY PROGRAM
Delaware Assistive Technology Initiative (DATI)
The State Assistive Technology Grant Program, funded under the Assistive Technology Act of 2004, supports comprehensive, statewide programs in each state that improve the provision of assistive technology (often home modification-related) to individuals with disabilities of all ages.
DELAWARE STATE HOUSING AUTHORITY
Statewide Emergency Home Repair Program (SERP)
Program Description: The Statewide Emergency Repair Program (SERP) offers assistance with emergency conditions including urgent accessibility modifications. SERP is executed by the Milford Housing Development Corporation to provide timely emergency help through various statewide partnerships.
Population Served: Delaware homeowners who have lived in their home for at least one year and who have urgent repair needs.
DELAWARE STATE FALL PREVENTION COALITION
Delaware Coalition for Injury Prevention
For an up to date list of all state fall prevention coalitions, visit: https://www.ncoa.org/resources/list-of-state-falls-prevention-coalitions/