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Rosarium

How to get help for you or a family member

If you or a family member is on Medicaid or both Medicare Advantage and Medicaid and has a health condition that makes their home unsafe or inaccessible, there may be a covered benefit that pays for modifications. Here is how to find out.

An older woman laughing with a family member at her bedside

How to get more information

If you are covered by the following health plans, you may have a home modification benefit. Talk with your care manager, health plan, or call Rosarium at 855 650-0632 to get more information

Medicaid Alliance Health Health Net

What are some examples of a home modification and how can I find out if I qualify?

Home modification benefits and the criteria to qualify may vary by state and program. Many states offer these benefits through Medicaid Managed Care and to be eligible, a home assessment will determine what you may need based on your health condition. Risk of falls, challenges with mobility and safety risks within the home are the primary reasons for home modifications.

Home modifications are not cosmetic and must be medically necessary to address safety and accessibility issues.

The services we offer

  • ADA Accessible Ramps

  • Tub Shower Modifications

  • Grab Bars

  • Glide Bath Transfer Systems

  • Residential Vertical Platform Lifts

  • Stair Lifts

  • Hand Railings

  • Flooring

  • Door Widening

  • PERS

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What to ask, and who to ask

When to ask your Primary Care Doctor

If your medical condition(s) put you at risk for falling, or you have safety or accessibility issues within your home, ask your doctor if they can order a home safety assessment. Also inquire if your health plan offers a home modification benefit. If yes, and we participate with your health plan, ask them to contact Rosarium Health.

When to ask your Hospital Discharge Planner

If you are concerned about safety or accessibility issues when you go home, ask the discharge planner or social worker whether a home modification assessment could be scheduled.

When to ask your Health Plan or Care Manager

Ask your Care Manager if your health plan has a home modification benefit, and if they do not know, contact your health plan.

If you or your family member are on a Medicaid managed care plan or a D‑SNP. These plans are the most likely to offer a home modification benefit. You can call the health plan or review the member materials you received from your health plan to see if you have the benefit

A care worker steadying an older woman as she walks in her garden

Have questions?
Ask us

No, if your health plan offers a home modification benefit, you will have a specific amount of money available to do medically necessary home modifications that address safety and accessibility issues.
Rosarium will be able to provide this information or you can contact your health plan.
Once you are referred to Rosarium by a Care Manager, your physician, or even by contacting Rosarium directly, we will be sure you are eligible and have the benefit. Then we call you to be sure you consent to accessing the benefit and get some additional information about your health, you will be contacted by a Physical or Occupational Therapist. They will come to your home and evaluate for safety or accessibility risks, and talk with you about some recommendations for modifications. Then a contractor will contact you and come to your home to evaluate how much the modifications will cost and prepare a bid. Once Rosarium has the required paperwork, it is submitted to the health plan for approval. Once approved, Rosarium will notify you and the contractor, and the work can be started.
The things that may impact getting the modifications you may want or recommended by the clinician may not be possible due to the cost over the benefit limit, structural or other problems identified by the contractor, your physician or landlord consent (if you rent your home) or the insurance denying the services. Rosarium works with their contractors to identify the most cost effective solution so your home can be made safe and accessible.
The time to complete a home modification varies and is based on the requirements and approval from your health plan. Our network providers work very hard to do their job on the front end and the Rosarium team ensures all the documents required by the health plan as timely as possible. Once the health plan approves the bid, the modification can be completed in 30 days or less.