(1) An environmental modification provided to a recipient must:

(a) relate specifically to and be primarily for the recipient's disability;

(b) have utility primarily for a person who has a disability;

(c) not be an item or modification that a family would normally be expected to provide for a nondisabled family member;

(d) not be in the form of room and board or general maintenance;

(e) meet the specifications, if applicable, for the modification set by the American national standards institute (ANSI) ; and

(f) be prior authorized jointly by the provider's board of directors and the department if the cost of the project may exceed $4,000.