🔹 Rates 🔹
In-Home Assessment
$100/hr
Initial Assessment:
15-30-min intake call
2-hour home visit (Portland/Vancouver Metro)
1 hour drive time
Custom written report (1 hour)
Follow-up Q&A
(Approx. 4-6 hours total - final cost may vary based on square footage and project scope.)
Accessibility Design
$100/hr
In-Home Assessments & Virtual Walkthroughs
Zoom Consultations
Accessibility-Focused Space Planning & Design
Product Sourcing & Recommendations
Team Coordination with Architects, Designers, Contractors & Healthcare Providers
Guidance on Home Sharing & Multigenerational Living
Homeowner’s Representative
$100/hr
Project Coordination & Oversight
Contractor Communication & Advocacy
Timeline & Milestone Tracking
On-Site Coordination for Accessibility Projects
Reviewing Estimates & Bids
Vetting Contractors & Trade Professionals
Ensuring Accessibility Features are Properly Integrated
SERVICES FOR ATTORNEYS & LIFE CARE PLANNERS
$150/hour
Expert Occupational Therapy assessments for attorneys and Life Care Planners
Case-specific reports & documentation
Home safety evaluations & accessibility reviews
Cost projections for care and modifications
Consultations to support injury claims, accommodations, and legal proceedings
Veteran Discount: for all services
$65/hour
Concierge Packages & Flat-Rate Options Available
Travel time is factored into service planning and discussed in advance.
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🔹 MEDICARE NOTE🔹
Why I Don’t Bill Medicare - and What That Means for You
As an accessibility designer and licensed occupational therapist, I help people stay safe, independent, and supported at home through thoughtful design, medical insight, and hands-on collaboration.
Although I’m fully licensed and certified in OR/WA, I do not bill Medicare directly. Here’s why.
Medicare is structured to support high-volume outpatient clinics, where therapists often see multiple patients per hour with the help of aides or assistants. The system prioritizes speed and standardization, not personalized, on-site services.
My work is different. I provide deeply individualized support. That includes assessing your home environment, reviewing site plans, developing a customized design strategy, and collaborating with your contractor, architect, or care team. I may recommend equipment, coordinate installation, and train you or your caregiver on safe and effective use.
Behind the scenes, I’m reviewing medical records, consulting with your doctor, traveling to your home, documenting care thoroughly, and ensuring compliance with federal healthcare regulations. I also carry professional liability insurance, maintain secure digital health records, and invest in ongoing training to keep my skills and systems up to date. Medicare does not reimburse for any of this work.
To be fully transparent: if I were to bill Medicare, I might earn $20 an hour or less once unpaid labor, travel, and administrative demands are accounted for. That model is neither sustainable nor aligned with the high level of service I strive to offer.
It’s also important to understand how Medicare works. Medicare Part A covers home health services only for people who are homebound and meet strict medical criteria. My services fall under Medicare Part B, which includes outpatient therapy and mobile visits, but only reimburses for face-to-face clinical time. Planning, coordination, travel, and collaboration with your build team are not covered.
That’s why I operate as a private-pay provider. This allows me to deliver personalized, high-touch support without rushing or cutting corners. I’m happy to provide a Superbill if you’d like to request reimbursement from your insurance.
If you’re specifically looking for a Medicare Part B provider, I’m happy to help you search for one in your area. However, providers with expertise in home modifications are few and far between. They may have limited time, less specialization, or less flexibility than what I offer in a one-on-one model.
What Medicare Does and Does Not Cover:
Medicare may cover a few durable medical items, such as a walker or basic wheelchair, typically every five years and only when prescribed by a doctor.
Medicare Does Not Cover:
Home remodels (e.g., widening doorways, ramps, roll-in showers)
Grab bars or safety rails
Shower chairs, bath benches, or handheld shower heads
Stair lifts, ceiling lifts, or hospital beds used for comfort
Smart home upgrades or fall-prevention modifications
Long-term caregiver support (e.g., bathing, dressing, meal prep)
Assisted living or long-term housing costs
To explore official Medicare guidelines, visit:
Otherwise, we provide assistance with identifying funding sources (grants, loans, long term care insurance benefits, financing options, Veteran benefits), and connect clients with vetted professionals (see below).
FUNDING SOURCES
🔹 Grants 🔹
VA Specially Adapted Housing (SAH) Grant – For eligible veterans with service-connected disabilities.
VA HISA Grant – For medically necessary modifications.
HUD Home Modification Grants – Offered through local housing authorities.
Community Development Block Grants (CDBG) – Local government-administered support for accessibility upgrades.
Rebuilding Together / Habitat for Humanity – Free or low-cost repairs for income-qualified seniors.
Area Agencies on Aging (AAA) – May offer minor home repair funds.
Utility Company Assistance Programs – May include accessibility improvements under energy efficiency support.
🔹 Government & Public Programs🔹
Medicaid Waivers (HCBS) – In select states, may cover home modifications.
State Assistive Technology Programs – Offer funding, equipment loans, and referrals.
USDA Section 504 Loans & Grants – For low-income, rural homeowners (age 62+ for grants).
🔹 Loans & Lines of Credit🔹
Home Equity Line of Credit (HELOC) – Flexible option using home equity.
Home Equity Conversion Mortgage (HECM) – Reverse mortgage for adults 62+.
Personal Loans / Credit Unions – Useful for smaller or short-term projects.
🔹 Private Insurance / Legal / Employer Benefits🔹
Long-Term Care Insurance – May reimburse accessibility upgrades
Worker’s Comp / Legal Settlements – May cover injury-related modifications
Employer or Union Retiree Benefits – May include stipends or support for aging-in-place needs.
Disclaimer: Consultant is not a general contractor or architect. Recommendations are based on clinical and accessibility expertise. Final decisions and code compliance are the responsibility of licensed professionals.