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Environmental Modifications (EMods), Vehicle Modifications (VMods), Adaptive and Assistive Technology (AT), and Non-Emergency Medical Transportation

For HHCM/C-YES notification to the NYS and for questions or support contact: EModVModAT@health.ny.gov

Effective March 1, 2024: The following forms and guidance are only to be used for projects that remain open and will continue to completion with the LDSS.

EFFECTIVE 9/1/21: Only 21 OHIP ADM-01 forms to be accepted and processed.
On June 9, 2021 NYS Department of Health hosted two webinars regarding the Assistive Technology (AT), Environmental Modifications (EMod), and Vehicle Modifications (VMod) Request Process. As mentioned during the webinars, NYS Department of Health has issued an updated Description and Cost Projection Form and Final Cost Form. Starting September 1, 2021 NYSDOH will no longer accept request submissions on previous versions of the Description and Cost Projection Form or Final Cost Form. Only the most recent versions, issued April 2021, of the Description and Cost Projection Form and Final Cost Form will be accepted.

  • REFRESHER Environmental Modifications, Vehicle Modifications, and Adaptive and Assistive Technology (Children's HCBS Waiver) - PDF | Recording (YouTube) - March 11, 2020
  • EMod, VMod, AT Request Process for the LDSS - PDF | Recording (YouTube) - May 2021
  • EMod, VMod, AT Request Process for the HHCM/C-YES - PDF | Recording (YouTube) - May 2021
  • Adaptive and Assistive Technology: Process the Possibilities - PDF | Recording (YouTube) - May 4, 2023
  • EMod, VMod, AT Process Reminders and Best Practices - PDF | Recording (YouTube) - November 21, 2022