If you or your family member is on Medicaid in Louisiana and needs a wheelchair ramp, grab bars, or a wider doorway, help may be available. One Medicaid waiver can pay for it. The Louisiana Department of Health (LDH) runs the state's Medicaid program. Home and community-based services (HCBS) waivers for older adults and adults with disabilities are administered by LDH's Office of Aging and Adult Services (OAAS). The route for home modifications is the Community Choices Waiver (CCW).
What Louisiana offers#
CCW serves older adults and adults with adult-onset disabilities who are age 21 or older and meet a nursing facility level of care. It is a home and community-based services waiver authorized under Section 1915(c) of the Social Security Act, with federal waiver ID 0866.R03.00. CCW lets eligible participants get long-term-care services at home, as an alternative to moving into a nursing facility.
CCW lists Environmental Accessibility Adaptation (EAA) as a covered service. EAA pays for one-time physical changes such as ramps, widened doorways, grab bars, and roll-in showers. These changes are meant to support safety, mobility, and functional independence. The modification must be in your approved Plan of Care (POC), your care team must find it medically necessary, and it must be authorized before work starts.
Amounts and eligibility#
Louisiana does not publish a separate fixed dollar cap for EAA. Instead, under the CCW provider manual, EAA is authorized only if the cost fits within your remaining Plan-of-Care resource allocation. That is the individualized annual budget built for your specific POC year. There is no flat statewide number to point to. Anyone quoting a specific EAA dollar limit for Louisiana is not using an official LDH source. Verified against the CCW provider manual, July 2026.
For financial eligibility, Louisiana uses the special income rule: monthly income can be up to 300% of the Supplemental Security Income (SSI) Federal Benefit Rate. That comes to $2,982 per month for an individual in 2026, regardless of marital status. The asset limit for a single applicant is $2,000.
Only LDH and OAAS decide who qualifies for CCW. Nothing here guarantees eligibility.
How to apply in Louisiana#
To start the process, call Louisiana Options in Long-Term Care at 1-877-456-1146, TTY (text telephone) 1-855-296-0226. This is the single statewide intake line for CCW and other OAAS long-term-care programs. Staff conduct a preliminary screening by phone and begin the assessment process from there.
CCW's support coordination, the case management that helps you build and manage your Plan of Care, is delivered through OAAS-contracted Support Coordination Agencies (SCAs). It is not delivered through a Healthy Louisiana managed-care plan.
Louisiana maintains a Request for Services Registry (RFSR), a formal waiting list ordered by the date you requested services. People with a diagnosis of ALS (amyotrophic lateral sclerosis, also called Lou Gehrig's disease) receive priority on this list. So do people experiencing abuse or neglect, people not currently receiving another Louisiana Medicaid waiver, and nursing-facility residents who could return home with CCW services. LDH does not publish an average wait time, so treat any specific figure you see elsewhere as unverified.
OAAS is Louisiana's long-term-care front door. Reach it through Louisiana Options in Long-Term Care at the number above. The federal Eldercare Locator (eldercare.acl.gov, 1-800-677-1116) is also available for general help finding aging services.
How it stacks with federal programs#
If the person needing modifications is a veteran, check U.S. Department of Veterans Affairs (VA) housing grants alongside Medicaid. Programs like Specially Adapted Housing (SAH) can fund larger projects and may work alongside CCW benefits. See our VA home modification grants guide.
Original Medicare does not cover structural home modifications. Some Medicare Advantage (Part C) plans offer supplemental benefits like grab bars or ramps, but this is entirely plan-specific with no standard amount. Call your plan directly to ask what it covers.
Finding a provider who knows this program: Not every contractor has handled CCW paperwork. Adapta Home USA verifies providers' Medicaid Waiver Billing experience, so you can filter for professionals who have done this before. Find Home Modifications & Remodeling providers with Medicaid Waiver Billing experience →
For the bigger picture on combining programs, see our national Medicaid HCBS waiver guide and our full guide to paying for home modifications.
FAQ#
Does Louisiana Medicaid pay for home modifications like wheelchair ramps or grab bars?#
Yes. The Community Choices Waiver covers Environmental Accessibility Adaptation, a service that pays for ramps, grab bars, widened doorways, and roll-in showers. The modification must be in your approved Plan of Care and authorized before work begins.
What is the Community Choices Waiver and how do I apply through Louisiana Options in Long-Term Care?#
CCW is a Medicaid waiver that helps older adults and adults with adult-onset disabilities who meet a nursing facility level of care get services at home. To apply, call Louisiana Options in Long-Term Care at 1-877-456-1146, the single statewide intake line for CCW.
Is there a dollar limit on Environmental Accessibility Adaptations in Louisiana?#
No fixed dollar cap is published. Louisiana funds EAA within your individualized annual Plan-of-Care budget, so the amount depends on your approved plan rather than a flat statewide figure.
What is the Request for Services Registry and how does the waitlist work?#
The RFSR is Louisiana's formal waiting list for CCW, ordered by request date. People with an ALS diagnosis get priority on the list. So do people experiencing abuse or neglect, people not already on another Louisiana Medicaid waiver, and nursing-facility residents who could return home with CCW.
Find a verified provider near you#
Adapta Home USA's directory lets you search Home Modifications & Remodeling providers by state and filter for Medicaid Waiver Billing experience. Our wheelchair ramp cost guide can help you budget while you wait to hear back.
This article is for general educational purposes only and does not constitute medical, legal, or financial advice. Consult a qualified professional about your specific situation.
Program amounts, eligibility rules, and application procedures change. Figures on this page were verified against official government sources on the date shown, but you should confirm current details at VA.gov or with the administering agency before making decisions. Adapta Home USA is not affiliated with the U.S. Department of Veterans Affairs or any government agency.