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Homes and Community Renewal

Access to Home for Medicaid Program

About the Access to Home for Medicaid Program

The Access to Home for Medicaid Program was created in partnership with the New York State Department of Health (DOH). This program provides financial assistance to property owners to make dwelling units accessible for low- and moderate-income persons receiving Medicaid and living with a disability. These can be owner-occupied or rental units. Providing assistance with the cost of adapting homes to meet the needs of those with disabilities will enable individuals to safely and comfortably continue to live in their residences and avoid institutional care. The Access to Home for Medicaid Program has a secondary goal of lowering health care costs over the long-term.

Eligible Applicants and Areas

Grants are made to municipalities and eligible not-for-profit entities that have substantial experience in adapting or retrofitting homes for persons with disabilities. Adaptation work must meet the needs of Medicaid recipients with physical disabilities and seniors with an age-related disability. Examples include: wheel chair ramps and lifts, handrails, easy-to-reach kitchen work and storage areas, lever handles on doors, roll-in showers with grab bars, etc. All areas of the State are eligible.

Income Population Served

Homeowners and renters may qualify for loan assistance through the municipality or not-for-profit entity under the following criteria: the occupant is physically disabled or has substantial difficulty with an activity of daily living because of aging; occupant is a Medicaid recipient; the dwelling unit is a permanent residence; and, total household income does not exceed 80 percent of area median income, or 120% of area median income if person in need of modifications is a disabled veteran. (Proof that person was disabled due to service is required.)

Funding Limitations

Loans or grants to homeowners will be up to 100 percent of the total cost of the adaptations to a maximum of $25,000. Loans will be at zero percent interest with payments deferred on the condition the customer resides in the modified residence. The entire loan will be forgiven at the end of a regulatory period of five years.