What is a Major Home Modification?

Major home modifications are significant structural changes that typically cost more than $20,000. These changes are designed to make a home accessible and functional for individuals with high physical support needs or significant mobility challenges.

Examples of major home modifications include:

• Complete bathroom redesign (e.g., removing a bath and replacing it with a roll-in shower)

• Installation of a ceiling hoist system

• Structural widening of doorways and hallways for wheelchair access

• Adding ramped entryways with handrails

• Full kitchen modifications to allow accessible cooking and food preparation

These types of modifications often involve licensed builders, require building permits, and must comply with disability access standards.

What is a Minor Home Modification?

Minor home modifications are smaller changes to the home, typically costing under $20,000, and are often quicker to implement. These modifications support daily function, safety, and ease of movement within the home environment.

Examples of minor home modifications include:

• Installation of grab rails in the bathroom or near steps

• Adding handheld showers or non-slip flooring

• Small ramp installations at single steps or thresholds

• Installing lever taps or raised toilet seats

• Modifying a door swing or adding a door handle extender

While these modifications may not involve large-scale construction, they still require assessment and professional planning to ensure safety and effectiveness.

What Funding Supports Are Available?

Home modifications can be funded through different programs, depending on the person’s age, disability status, and individual goals. The two main funding bodies in Australia are:

• NDIS (National Disability Insurance Scheme):

  NDIS participants may receive funding for both minor and major home modifications under the “Capital Supports – Home Modifications” budget. The request must be supported by an OT assessment and may also require quotes from registered builders.

• HCP (Home Care Packages):

  For older adults (usually over 65), Home Care Packages provided through My Aged Care can fund low-cost or essential home modifications, such as grab rails, step ramps, or handrails, based on assessed care needs.

How Do I Get a Home Modification?

The process to receive home modifications typically involves the following steps:

1. Occupational Therapy Assessment:

   An OT will visit your home to assess how your physical needs interact with your living environment. They will identify risks, barriers, and opportunities for improved independence.

2. OT Report and Recommendations:

   The OT will prepare a detailed report outlining the required modifications, why they are necessary, and how they relate to your goals and functional capacity. For NDIS, this report must align with their Home Modifications Guidelines.

3. Builder Quotes and Approvals:

   For major modifications, quotes from licensed builders or project managers are usually required. The funding body (NDIS or HCP) will review the documentation before approving works.

4. Installation and Follow-Up:

   Once approved, the modifications are carried out by qualified tradespeople. OTs may return to check that the modifications meet the person’s needs and are being used effectively.

Summary

• Major home modifications involve significant structural changes (e.g. bathroom redesign, hoist systems) and cost over $20,000.

• Minor home modifications are low-cost changes (e.g. grab rails, small ramps) under $20,000.

• Funding is available through NDIS or HCP, depending on your eligibility.

• An OT assessment and report is essential to start the process and ensure that the modifications match your individual goals, abilities, and safety requirements.