The Program covers an on-site environmental assessment and adaptations of a home or residence where the participant lives or will live as a participant. An environmental assessment or adaptation may not be provided before the effective date of the participant’s enrollment in services. The environmental assessment may be recommended by a multidisciplinary team in the plan of service for a participant when an environmental assessment is considered necessary to: Ensure the health and safety of a participant with special environmental needs; and Obtain additional professional advice from an occupational therapist about the: Physical structure of a participant’s home or residence; and Functional or mental limitations or disabilities of a participant as they relate to the environment. Included in the environmental assessment, as necessary, may be: An evaluation of the presence and likely progression of a disability or a chronic illness or condition in a participant; Environmental factors in the facility or home; The participant’s ability to perform activities of daily living; The participant’s strength, range of motion, and endurance; and The participant’s need for assistive devices and equipment. Based on an inspection of the home and interviews with the participant and any individual requested by the participant, the provider shall complete a form, to be reviewed by the supports planner, which details the provider’s findings and recommendations, especially relating to a participant’s need for services.