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Vendor Services

Helping Families Remain Together in Their Own Homes

Vendor Services

Vendor services provide additional assistance and supplies that make it easier for individuals to live and work independently. Agency With Choice offers several options, which range from installing accessibility adaptations to providing dependable transportation.

Home Accessibility Adaptation

This option includes modifications to the private home of the individual that are necessary due to the individual's disability. The modifications help ensure their health and security, while making the home more accessible and enabling them to function with greater independence in their home.

The installed utility must primarily be for the individual, 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. These include:

  • Ramps from street, sidewalk or house
  • Vertical lifts
  • Portable or track lift systems
  • 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 individual 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
  • Slip resistant flooring
  • Kitchen counter, major appliance, sink and other cabinet modifications
  • Modifications to existing bathrooms for personal care needs
  • Bedroom modifications of bed, wardrobe, desks, shelving, and dressers
  • Stair gliders and stair lifts
  • Workroom modifications to desks and other working areas

Vehicle Accessibility Adaptation

This service provides certain modifications to the vehicle that the individual uses as their primary means of transportation. The adaptation must be necessary due to the individual's disability. Installation, repair, maintenance, and extended warranties for modifications are all included in this service. Possible vehicle accessibility adaptations are:

  • Vehicular lifts
  • Interior alterations to seats, head and leg rests, and belts
  • Customized devices necessary for the individual to be transported safely in the community, including driver control devices
  • Raising the roof or lowering the floor to accommodate wheelchairs

Specialized Supplies

This provides individuals with incontinence supplies that are medically necessary and are not a covered service through the MA State Plan, Medicare, or private insurance. Examples of the supplies include:

  • Diapers, incontinence pads, cleansing wipes, underpads, and vinyl or latex gloves

Assistive Technology

Individuals can receive a piece of equipment or product system that is used to increase, maintain, or improve their functioning or increase their ability to exercise choice and control. Options include:

  • Purchasing, leasing, or otherwise providing for the acquisition of assistive technology devices for the individual
  • Selecting, designing, fitting, customizing, maintaining, adapting, or replacing assistive technology devices
  • Training or technical assistance for the individual, or where appropriate, the individual's family members, guardian, 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 individuals in maintaining their independence and safety within their home and community

Education Support Services

For education and related services that are not funded through Individuals with Disabilities Education Act (IDEA) or the Office of Vocational Rehabilitation (OVR), we can help provide:

  • Tuition for adult education classes offered by a college, community college, technical school or university (includes classes for credit, classes that individual audits, classes that support paid or unpaid internships, remedial classes and comprehensive transition programs)
  • General fees charged to all students, such as technology fees, student facility fees, university services fees, and lab fees
  • On campus peer support
  • Classes to teach individuals 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

Individual-Directed Goods and Services

This includes services, equipment or supplies not otherwise provided through other services offered in this waiver, the Medicaid State Plan, or a responsible third-party. An identified need must be addressed in the individual'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 individual
  • Increase the individual'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 individual


This enables individuals to access services and activities specified in their approved service plan. There are two options available to individuals:

  • Transportation-Mile: Used to reimburse the owner of the vehicle or other qualified licensed driver(s) who transport the individual to and from services and resources specified in their service plan
  • Transportation-Public: Enables individuals to gain access to services and resources specified in their service plan

PathWays AWC services are self-directed.

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