Home/Vehicle Accessibility Modifications

What is it?

  • Home accessibility modifications include:  physical adaptations to the private residence of the individual or their family. The modifications would be specified by the individual's service plan, necessary to ensure the health, welfare and safety of the individual and enable the individual to function with greater independence in the home.  Home accessibility modifications may or may not be permanent.
  • Vehicle modifications are:  adaptations or alterations to an automobile or van that is the individual's primary means of transportation.  These modifications are specificed by the individual's service plan, necessary to ensure the health, welfare and safety of the individual and enable the individual to integrate more fully into the community.

How Do I Become A Provider?

  1. You must submit an IRS W-9 form  and required supporting documentation to DHS, Division of Developmental Disabilities:
    • Illinois Department of Human Services Division of Developmental Disabilities
      600 East Ash Street, Building 400, Mail Stop 2
      South Springfield, IL 6270
      Attention: Provider Enrollment
      Email: DHS.DDDMedProv@illinois.gov
    1. The IRS W-9 form must be completed accurately.  Please review the IRS W-9 Guidelines for instructions on how to complete the form based on your company's tax classification. 
    2. The IRS W-9 Guidelines will also provide instructions on the supporting documentation that may be required for some companies and LLLCs.  Please submit any required supporting documentation with the IRS W-9. 
    3. You will receive an email notification from DHS.DDDMedProv@illinois.gov when the W-9 has been certified and registered with the Illinois Office of the Comptroller. 
  2. Submit an IMPACT Provider Enrollment application for the company AFTER you have received notification that the IRS W-9 for you company has been certified:
    1. You, the person sitting at the computer, must create an IMPACT account on the IMPACT login page.  Enter the information required for this step using your personal information and NOT the company's.
    2. After creating this account, apply for approval of a Single Sign-On ID.  Please use the Single Sign-On ID PowerPoint Presentation found on the IMPACT Presentations and Materials page on the HFS website to complete this step. 
    3. When the Single Sign-On ID has been approved, return to the IMPACT login page and log into your account. 
    4. Click on NEW ENROLLMENT.
    5. On the next screen, select the Enrollment Type:  Atypical Agency.
    6. Use the Atypical Agency PowerPoint Presentation found on the IMPACT Presentations and Materials page on the HFS website to complete this step.
    7.  In addition to the instructions provided on the PowerPoint, you must enter the information listed below on the application.
      1. Add Specialty: Social Services; Environmental Modifications;  No Subspecialty
      2. Associate Provider: DDD Billing Provide ID number 7094718
      3. Associate Billing Agent: DDD Billing Agent number 7094638
      4. Associate MCO Plan: DDD MCO Plan ID number 3000006
  3. Send an email to DHS.DDDMedProv@Illinois.gov notifying DDD Provider Enrollment that the IMPACT enrollment application has been completed and submitted an IMPACT application for State Review. 
  4. You will receive an email notification when the IMPACT application has been approved.