A Fairmont ADW Adaptation Request: Who Applies, Pays and Checks

For an ADW environmental adaptation, buying first and hoping for reimbursement can put a family in the wrong process. Bring the proposed adaptation to the case manager before making a purchase or promising a vendor payment.

Start with the application route

Explain the practical obstacle in the home and what the member wants to accomplish. Ask the case manager which current ADW adaptation documents apply and what itemized vendor information is needed. The program manual describes an operating-agency application determination; a service field saying no prior authorization does not remove that determination process.

Let the responsible professionals assess suitability and any clinical or technical requirements. A family description of a problem is useful evidence, but it is not approval of a product, contractor or installation.

Clarify payment and completion

Ask who reviews the request, how the result is communicated, who pays the vendor and what completion documentation is needed. Keep an estimate, submitted application, determination and completed work as separate records.

Do not assume an out-of-pocket purchase will be reimbursed or that an approved concept means work can begin with any vendor. Confirm the actual arrangement before ordering, accepting delivery or changing the home.

While the request is pending, ask the care team how ordinary assistance can be arranged around the unresolved obstacle. A future adaptation does not provide current staffing. After any approved work, have the responsible team confirm the outcome and whether the daily-support plan needs to change.

Discuss ordinary help at home

For separately arranged nonmedical assistance, our Fairmont care team can discuss the person's requested tasks and timing. Contact the local care team to ask about the actual scope, schedule and available staffing.