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
MARYLAND DEPARTMENT OF AGING (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. Program(s) with home modification or repairs include:
Community for Life
Program Description: Community For Life provides a package of services for homeowners and renters. It includes home maintenance/light home repair provided by a community “handyman” based on a list of vetted contractors, transportation, and community access navigation in a cost-effective and supportive manner. This fee-based, local nonprofit model involves three pillars of support including initial home assessment and handyman support, transportation, service navigation. There are currently six partners in the state carrying out the Community for Life Program.
Population Served: Maryland residents age 65 and older with no income or health requirements.
MARYLAND DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
1. Accessible Homes for Seniors
Program Description: Accessible Homes for Seniors is administered by the Maryland Department of Housing and Community Development in partnership with the Maryland Department of Aging. It provides zero-interest loans to modify a home space for adults age 55 or older. Modifications may include grab bars and railing installation, widening of doorways and installation of ramps. The program provides zero percent interest. Loan payments are deferred for 30 years or until the sale or transfer of ownership of the home.
Population Served: Maryland residents with at least one resident age 55 or older, must own and occupy the home to be renovated as their principal residence, income requirements, and other eligibility related to the condition of the home.
2. Independent Living Tax Credit
Program Description: This State of Maryland tax credit administered by the Maryland Department of Housing and Community Development is for residents who renovate a home to be more accessible. The tax credit may be up to 50% of the cost of the renovation up to $5,000, either in one’s own home, the home of a family member, or a rental property.
Population Served: Maryland taxpayers with documentation showing the payment for a home renovation that includes accessibility features.
3. Maryland Housing Rehabilitation Program – Single Family
Program Description: This program focuses on preserving and improving single family properties and one-to-four unit rental properties. It is designed to bring properties up to applicable building codes and standards, and may include accessibility modifications. Interest rates for loans range from 0% to 6% and are based on the applicant’s ability to pay.
Population Served: Owner-occupants of single family homes and all residents of financed rental housing with household incomes that do not exceed 80 percent of the statewide or Washington, D.C. Metropolitan Statistical Area median income. Deferred loans are available to some borrowers who require health, safety or accessibility improvements.
MARYLAND DEPARTMENT OF HEALTH: MEDICAID WAIVERS
1. Children with Autism Spectrum Disorder Medicaid Waiver
Program Description: This Medicaid Waiver provides residential habilitation, respite, adult life planning, environmental accessibility adaptations, family consultation, intensive individual support service, and therapeutic integration for individuals with autism ages 1 – 21.
Population Served: Maryland children on Medicaid with autism, ages 2 through 21, who need an Intermediate Care Facility for the Intellectually Disabled level of care.
2. Community Pathways Medicaid Waiver
The Community Pathways Medicaid Waiver provides services in the community as an alternative to receiving services in an institutional setting. Supportive services include career exploration, respite care services, assistive technology and services, behavioral support services, community development services, community living-enhanced supports, and environmental assessments and modifications.
Population Served: Medicaid-eligible individuals with developmental disabilities of all ages.
3. Home and Community-Based Options Waiver for Older Adults and People with Disabilities
Program Description: This Medicaid Waiver provides community services and supports to help older adults and people with disabilities live at home through assistance with activities of daily living such as bathing, dressing, and grooming. Environmental assessments and home adaptations are included.
Population Served: Medicaid-eligible Maryland residents age 18 years or older who meet the level of care required to qualify for nursing facility services.
MARYLAND STATE ASSISTIVE TECHNOLOGY PROGRAM
MDTAP Technology Assistance Program
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. It has a Home Modification Directory for Maryland (2016)
MARYLAND STATE FALL PREVENTION COALITION
For an up to date list of all state fall prevention coalitions, visit: https://www.ncoa.org/resources/list-of-state-falls-prevention-coalitions/