2026 RATES for Adaptable Abodes
HOME ASSESSMENT PACKAGES
1. Essential Home Assessment - 1.5 Hours
Ideal for focused planning in 1-2 common areas (often entry and bathroom). Best for straightforward aging-in-place upgrades and fall prevention.
Includes:
1.5 hour in-home assessment
10-20 page written report
Prioritized recommendations
Photos and key measurements
Product and equipment recommendations
Environmental modification recommendations to reduce remodeling costs
Planning-level rough cost ranges and phased options
Contractor-ready guidance and urgent recommendations/specs
1-2 Vetted referrals
Printed & Digital report plus educational handouts and brochures
$700–$950
Pricing varies based on home size, levels, and complexity of needs.
Approximately 6+ total hours of professional time including assessment, analysis, and report preparation. Includes travel for 50 minutes roundtrip.
2. Comprehensive Home Assessment - 3 Hours
Ideal for multi-level homes, progressive conditions, remodel planning, or more complex coordination needs.
Includes:
3-hour in-home assessment
40-50 page written report
Detailed measurements and scope notes
Product and equipment recommendations
Design sketches and floor plan review
Planning-level rough cost ranges and prioritized phased planning
Contractor-ready guidance and urgent recommendations/specs
2-3 Vetted referrals
Printed Color & Digital report plus educational handouts and brochures
$1,000–$1,700+
50% retainer to book + 50% due before report delivery
Pricing varies based on home size, levels, and complexity of needs.
Approximately 10-15 total hours of professional time including assessment, analysis, design review, and report preparation.
PROJECT DESIGN & COORDINATION
$2,000-$10,000 per project, depending on scope
For clients who want support from early planning through project completion.
Most projects begin with a Home Accessibility Assessment & Design Planning.
From there, Adaptable Abodes can provide Project Coordination, working alongside the designer, architect, and contractor as the project moves forward.
VIRTUAL HOME STRATEGY CALL
50 minutes + written summary with resources - $125
90 minutes + written summary with resources - $225
Virtual calls are AI-transcribed for accuracy and clarity, in addition to receiving your custom written summary. Great for adult children coordinating from out of state or families planning ahead for surgery, a new diagnosis, or move.
HOURLY RATES
Project Coordination + Design Consulting + Care Planning: $100/hr
Contractor-facing support for accessible design decisions, clear scope, and smooth follow-through - plus help assembling a care team and sourcing the right products and equipment.
TRAVEL
All home assessments:
Includes travel within 30 minutes of the Portland metro area (including Vancouver, WA)
Travel time beyond 1 hour round trip is billed at $50/hr.
PROFESSIONAL LEGAL SERVICES - CUSTOM RATES
Professional case work carries expanded documentation, coordination, and reporting standards.
Services include:
Letters of Medical Necessity
Objective personal injury home & needs assessments
Workers’ compensation assessments and reporting
Auto no-fault home modification evaluations
Attorney and life care planner consultation
Court ready reports
Professional services are billed at higher rates based on scope and documentation requirements. Custom quotes provided upon request.
Payment & Funding Information
Adaptable Abodes is a private pay practice and does not bill or accept insurance. Services are paid directly by the client unless prior arrangements have been made through an approved third-party funding source, such as a grant, HSA/FSA reimbursement, workers’ compensation, auto insurance, Veterans benefits, Tribal programs, or another approved funding source.
In select cases, reduced rates or alternate payment structures may be considered for nonprofit organizations, Veterans, Tribal entities, HUD-funded projects, or Medicaid waiver-funded cases, depending on scope, funding source, and administrative requirements.
If you are seeking traditional Medicare-covered occupational therapy services (Part A Home Health for homebound individuals or Part B outpatient/mobile services), please contact your physician for an order and referral to an appropriate provider.
Please note: Traditional Home Health OT may offer basic environmental recommendations, such as grab bar placement or equipment suggestions. It typically does not include structural home modification recommendations, detailed accessibility design planning, or project coordination.
Funding Options for Home Modifications
The Big Picture
Home modifications are rarely covered by traditional health insurance. However, some clients may be able to offset portions of the cost through specific public benefits, savings accounts, grant programs, or other specialized funding sources depending on diagnosis, age, military service, tribal affiliation, or program eligibility.
1. Private Pay
Private pay is the most common funding method for home assessments, accessibility planning, design consulting, and remodeling work.
This option offers the greatest flexibility in timing, scope, contractor selection, and decision-making.
2. HSA / FSA
Some clients may be able to use a Health Savings Account (HSA) or Flexible Spending Account (FSA) for certain accessibility-related expenses, such as:
home safety assessments
equipment such as grab bars or shower chairs
some medically necessary home accessibility items or modifications
This is often most successful when supported by a Letter of Medical Necessity from a medical provider.
3. Medicare Advantage Plans - Limited Supplemental Benefits
Some Medicare Advantage plans include limited supplemental benefits related to home safety, in-home supports, or Special Supplemental Benefits for the Chronically Ill (SSBCI). These benefits are often modest and may cover only minor items or small improvements rather than full remodeling projects.
Questions to ask your plan:
Do I have a home safety, home support, or SSBCI benefit?
Is there a care manager who can help review my eligibility?
Are there approved vendors, reimbursement rules, or prior authorization requirements?
4. Medicaid and State Programs
Clients who qualify for Medicaid or state disability services may have access to environmental modification funding or related supports.
For example, in Oregon, some environmental modifications may be available through the K Plan, with other potential supports available through Aging and People with Disabilities or Developmental Disabilities services. Eligibility, approvals, and scope vary, so it is important to speak directly with your case manager or program representative.
5. Long-Term Care Insurance
Some long-term care insurance policies may help cover supports that make it easier to remain safely at home. Coverage varies widely by policy. Review your plan carefully and ask whether home modifications, care coordination, or aging-in-place services are included.
6. VA Benefits
Veterans with qualifying disabilities may have access to meaningful home modification support through the Department of Veterans Affairs.
Examples may include:
HISA - up to $6,800 for qualifying service-connected situations
SAH - up to $126,526 for FY 2026 for eligible veterans with certain severe service-connected disabilities
Veterans should contact their VA care team, prosthetics department, or benefits representative to determine which housing adaptation program may apply.
7. Tribal Organizations and Housing Resources
Some tribal organizations and tribal housing programs may assist with home repair, accessibility, or modification needs. For example, the Bureau of Indian Affairs Housing Improvement Program may provide support for eligible American Indian and Alaska Native households with housing needs and limited resources. Availability and eligibility vary by tribe and program.
It is best to contact your tribal housing office, tribal health program, or case manager directly.
8. Grants and Community Resources
Some clients may find additional help through nonprofit organizations, housing repair programs, community agencies, and condition-specific support groups.
Possible resources may include:
Veterans programs
nonprofit organizations
housing repair programs such as Rebuilding Together, Habitat for Humanity, ReFIT, or REACH
local disability and aging services
organizations related to ALS, Parkinson’s, MS, spinal cord injury, or similar conditions
tribal and community-based housing resources
Availability varies based on program rules, diagnosis, location, and eligibility.
How Adaptable Abodes Can Help
Although Adaptable Abodes does not bill insurance directly, we may be able to:
provide clear, medically informed recommendations
support HSA/FSA documentation needs
help identify possible funding sources to explore
help organize a practical plan to share with contractors, family members, or program staff
Helpful Questions to Ask a Funding Source
Do you cover home modifications, or only equipment?
Do I need pre-approval?
Do I need a doctor’s note or Letter of Medical Necessity?
Do I need to use approved vendors?
Is there a case manager or program representative who can help me apply?
KELLY NESBITT OT, CAPS, ECHM / Home Accessibility Specialist
CALL 503-673-6299
EMAIL AdaptableAbodesLLC@gmail.com
