Vehicle Modification

(A) Conditions of Payment. (1) Vehicle modifications, to an automobile or van which is the participant’s primary means of transportation, are covered when such adaptations or alterations are: (a) made in order to accommodate the special needs of the participant; (b) necessary to enable the participant to integrate more fully into the community; and (c) required to ensure the health, welfare, and safety of the participant. (2) The need for vehicle modification must be documented in the participant’s service plan, subject to MRC requirements and approved for payment by MRC. (B) Nonpayable Services. The following are specifically excluded vehicle modifications: (1) Adaptations or improvements to the vehicle that are of general utility, and are not of direct medical or remedial benefit to the participant. (2) Adaptations or improvements to a vehicle that is owned or leased by an entity providing services to the participant. (3) Purchase or Lease of a Vehicle. However, payment for adaptations to a new van or vehicle purchased or leased by a participant or family can be made available at the time of purchase or lease to accommodate the special needs of the participant. (4) Regularly scheduled upkeep and maintenance of a vehicle, except upkeep and maintenance of the adaptations. (5) The cost of modifications cannot exceed the cost limit for the service as provided under the HCBS waiver in which the participant is enrolled. (6) Modifications to a paid caregiver’s vehicle or provider agency vehicle are excluded. (C) Payer for Vehicle Modification Services. MRC pays providers for vehicle modification services.