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Vendor Services

Sometimes, Vendor Services are needed to help families remain together in their own homes.

Services provided under the waiver in which there is not a staff member.

Some options available:

    • Home Accessibility Adaptation – Certain modifications to the private home of the participant. Must be necessary due to the participant’s disability, to ensure the health, security of, and accessibility for the participant, or which enable the participant to function with greater independence in the home. Must have utility primarily for the participant, be an item of modification that the family wouldn’t be expected to provide to a family member without a disability, be an item that is not part of general maintenance, and be an item or modification that is not part of room and board costs. Limited to:
      • Ramps from street, sidewalk or house
      • Vertical lifts
      • Portable or track lift systems. A portable system is a standing structure that can be wheeled around. A track lift system involves the installation of a “track’ in the ceiling for moving an individual with a disability from one location to another
      • Handrails and grab-bars in and around the home
      • Accessible alerting systems for smoke/fire/CO2 for individuals with sensory impairments
      • Electronic systems that enable someone with limited mobility to control various appliances, lights, telephone, doors, and security systems in their room, home, or other surroundings
      • Outside railing from street to home
      • Widened doorways, landings, and hallways
      • An additional doorway needed to ensure the safe egress of the participant during emergencies (when approved by ODP)
      • Swing clear and expandable offset door hinges
      • Flush entries and leveled thresholds
      • Replacement of glass window panes with a shatterproof or break resistant material for participants with behavioral issues as notes in the participant’s service
      • Slip resistant flooring
      • Kitchen counter, major appliance, sink and other cabinet modifications
      • Modifications to existing bathrooms for bathing, showering, toileting and personal care needs
      • Bedroom modifications of bed, wardrobe, desks, shelving, and dressers
      • Stair gliders and stair lifts. A stair lift is a chair or platform that travels on a rail, installed to follow the slope and direction of a staircase, which allows a user to ride up and down stairs safely
      • Workroom modifications to desks and other working areas


    • Vehicle Accessibility Adaptation – Certain modifications to the vehicle that the participant uses as his or her primary means of transportation to meet his or her needs. Must be necessary due to the participant’s disability. Includes installation, repair, maintenance, and extended warranties for modifications.
      • Vehicular lifts
      • Interior alterations to seats, head and leg rests, and belts
      • Customized devices necessary for the participant to be transported safely in the community, including driver control devices
      • Raising the roof or lowering the floor to accommodate wheelchairs


    • Specialized Supplies – Incontinence supplies that are medically necessary and are not a covered service through the MA State Plan, Medicare, or private insurance.
      • Diapers, incontinence pads, cleansing wipes, underpads, and vinyl or latex gloves


    • Assistive Technology – Item, piece of equipment, or product system that is used to increase, maintain, or improve a participant’s functioning or increase a participant’s ability to exercise choice and control
      • Purchasing, leasing, or otherwise providing for the acquisition of assistive technology devices for the participant
      • Selecting, designing, fitting, customizing, adapting, installing, maintaining, repairing, or replacing assistive technology devices
      • Training or technical assistance for the participant, or where appropriate, the participant’s family members, guardian, advocate, staff or authorized representative on how to use and/or care for the assistive technology
      • Extended warranties
      • Ancillary supplies, software, and equipment necessary for the proper functioning of assistive technology devices, such as replacement batteries and materials necessary to adapt low-tech devices
      • Independent living technology to assist participants in obtaining/maintaining their independence and safety within their home and community and decrease their need for assistance from others


    • Education Support Services – Education and related services that are not funded through Individuals with Disabilities Education Act (IDEA) or the Office of Vocational Rehabilitation (OVR).
      • Tuition for adult education classes offered by a college, community college, technical school or university. Includes classes for credit, classes that participant audits, classes that support paid or unpaid internships, remedial classes and comprehensive transition programs
      • General fees charged to all students. Includes: technology fees, student facility fees, university services fees, and lab fees
      • On campus peer support
      • Classes to teach participants who are deaf American Sign Language, Visual Gestural Communication, or another form of communication
      • Adult education or tutoring program for reading or math instruction
      • NOT INCLUDED: room and board, books, recreational classes/activities, tuition for online universities, tuition for adult education on disability specific campuses


    • Participant-Directed Goods and Services – Services, equipment or supplies not otherwise provided through other services offered in this waiver, the Medicaid State Plan, or a responsible third-party. Must address an identified need in the participant’s service plan and must achieve one or more of the following:
      • Decrease the need for other Medicaid services
      • Promote or maintain inclusion in the community
      • Promote the independence of that participant
      • Increase the participant’s health and safety in the home environment
      • Develop or maintain personal, social, physical or work-related skills
      • Items and services used for the primary benefit of the participant


  • Transportation – Enables participants to access services and activities specified in their approved service plan
    • Transportation – Mile – used to reimburse the owner of the vehicle or other qualified licensed driver(s) who transport the participant to and from services, competitive integrated employment, and resources specified in the participant’s plan
    • Transportation – Public – Enable participants to gain access to services and resources specified in their service plans.

PathWays AWC services are self-directed.

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