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“Specialized Environmental Accessibility Adaptations refer to the physical adaptations made to the home in order to create a healthy and safe place for the individual, or to allow for more independence in the home. Such adaptations may include the installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, or installation of specialized electric and plumbing systems and/or equipment and supplies. All adaptations or improvements to the home must have direct medical or corrective benefit for the individual.

Also, SEAA provides funds to purchase, rent, or lease equipment, ancillary supplies, devices, controls, or appliances that assist the individual with his or her daily activities, communication, and/or participation within the community. Additionally, this service includes training, technical support, warranties and repairs necessary to maintain the proper functioning of the equipment and supplies.”

Skilled Nursing

“Skilled Nursing services assure that PARTICIPANTS’ medical and health needs are met in order to live in the community.  Skilled Nursing services fall within the scope of the State’s Nurse Practice Act and must be provided by a Registered Nurse (RN), or a Licensed Practical Nurse (LPN) under the supervision of a Registered Nurse (RN).”

Specialized Services

“The goals of Specialized Services are to sustain community living and assure health and safety of PARTICIPANTS.  Specialized services include therapeutic interventions, non-traditional approaches, training and consultation, crisis outreach, and 24-hour crisis services, that are necessary to assure health and safety of PARTICIPANTS and are not available as a Medicaid State Plan service.”


The goal of transportation is to support community living.  Transportation shall assist PARTICIPANTS to gain access to waiver and community services, activities and resources identified in the PARTICIPANT’S Plan of Care (POC).  This service is to be considered only when transportation is not available through the State Medicaid Plan or as a component of any other Medicaid waiver service.  Whenever possible, family, neighbors, friends, or community agencies that can provide this service without charge shall be utilized.”

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