(1) An environmental modification must:

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

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

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

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

(e) meet the specifications, if applicable, for the modification set by the American National Standards Institute (ANSI).

(2) Environmental modification is considered an ancillary service; the sum of all ancillary service costs may not exceed $4,000 annually.