HM - Elevator

When to use this code

Use this code for home modifications that improve accessibility for the participant. This can include installing ramps, grab rails, accessible bathrooms, wider doorways, or adjustable benchtops. Modifications over a certain threshold require an occupational therapist’s assessment and recommendation.

Common billing scenarios

• A participant needs a powered wheelchair. The AT supplier provides a quote for $8,500 after an occupational therapist completes the assessment. Once approved, the provider claims against this code.
• An AT item needs repair costing $600. The provider submits a quote for the repair, and once approved, claims the cost under the relevant AT code.

Provider notes

• This is a quotable support, so there is no fixed price limit. You will need to submit a detailed quote to the NDIA or the participant’s plan manager before delivering the service. The quote should break down the expected costs and justify why the amount is reasonable.
• Capital supports are one-off or infrequent purchases rather than ongoing services. Make sure you have the required assessments and approvals before purchasing or delivering items. Capital funding cannot be moved to other budget categories.