Kepro is a utilization management company that provides services to the west virginia feeforservice medicaid population. Currently, there are more than one thousand west virginians on the waiting list for these services, said jeremiah samples, dhhr deputy secretary of public health and insurance. Bureau of intellectual and developmental disabilities. The developmentally disabled waiver dd waiver the developmental disabilities waiver dd waiver is designed to provide services and supports that assist eligible children and adults with intellectual and developmental disabilities idd to participate as active members of their communities. The proposed changes to the idd waiver are intended to help the program operate within its budget and allow the program to serve more beneficiaries. If you need accessible formats of the documents please call 3043564892. Intellectual and developmental disabilities idd medicaid. The idd waiver iddw program is west virginia s home and communitybased services program for. Welcome to the department of medical assistance services dmas homepage.
Division of developmental disabilities services delaware. Based on changes made in rosas law in 2010, intermediate care facilities for individuals with mental retardation icfmr will now reflect nationwide changes and be referred to as intermediate care facilities for individuals with intellectual disabilities icfiid. These denials resulted in substantial decreases from 2014 to 2015 in the total benefits plaintiffs received through the idd waiver. Service data 2012 20 2014 number of recipients 200 248 335 number of recipients 409 428 516 number of recipients 1,236 1,345 1,629 number of recipients 578 606 655 number of recipients 1,140 1,2 1,368 number of recipients 45 43 48 number of recipients 3 334 382 pers number of recipients 29 29 24 pers medication monitoring3. The council submits comments to the bureau for medical services each time changes are proposed to the idd waiver manual. Rem st albans wv, 6404 maccorkle ave sw, saint albans, wv 2019. Policies are described in the bureau for medical services aged and disabled waiver manual. This public service delivery system is comprised of five state operated comprehensive idd programs, a state operated program for youth who require specialized treatment, 14 regional community mental health idd centers and other nonprofit community agenciesorganizations that provide community services. Changed mrdd to idd waiver and clarified policy updated standard utility amounts removed povertylevel pregnant women medicaid pregnancy verification requirement.
Albans wv and we have various other service locations throughout the kanawha valley. Apr 28, 2017 to the wv idd waiver manual, section 5. The dhhr has already implemented many of the changes outlined in the. According to the quarterly provider training in may 2015 and the document on the ms website, labeled 2015 draft idd waiver omments and responses, a transition period of one year was documented to allow current tcs and bsps to obtain bsp i and bsp ii certification. Our mission at dmas is to provide a system of high quality and cost effective health care services to. The idd waiver iddw program is west virginias home and communitybased services program for. Dmas is the agency that administers medicaid and the state childrens health insurance program chip in virginia. With support from the state bank of west virginia, invest in improvements to the school for the deaf and blind in hampshire county and other facilities that predominantly serve people with disabilities. Idd waiver changes amending and restructuring the three waivers for persons with idd will result in services and supports that promote the community integration required by the agreement. Change in wv chip waiting period for dropping insurance. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Aged and disabled waiver stakeholder suggestion form an electronic document to be used for making comments and suggestions regarding the program. The cdcsp is a wv optional medicaid program that allows a child with a severe disability who is.
If a wv resident is in outofstate placement and wishes to apply for the wv idd waiver program, an idd01 application should be submitted by the individual or hisher legal representative to aps healthcare. Chapter 5 intellectual and developmental disabilities. Iddd waiveridd community support program supports depending upon the program, this section includes iddd waiver supports or idd. The report will include those items described within this section proposed services, service limitations, provider qualifications, licensing regulatory changes, rate structure for services, and cost to implement such changes. Policy manual west virginia department of health and. To be referred to the personal options program, a wv idd waiver member or hisher. Version 6 added 717 aged and disabled waiver quality assurance and improvement advisory council vacancy announcement and membership form. This profile reflects state managed care program information as of august 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a. Proposed changes to intellectual developmental disabilities.
This hearing was held in accordance with the provisions found in chapter 700 of the west virginia department of ealth and human resh ources common chapters manual. Jun 15, 2015 assembly on the progress of the iddd waiver redesign. Here you will find its comments for the past several years. Intellectual and developmental disabilities idd waiver. These services are provided in natural settings, such as the home and community. Changed mrdd to idd waiver and clarified policy updated. The west virginia division of motor vehicles has enabled this service to allow you to renew your vehicle registration online. Please be advised that the west virginia medicaid provider manual does not. Virginia department of medical assistance services. The company formally changed its name to kepro august 1, 2016 to unite with its parent companys brand, mission, and values. The program permits a state to furnish an array of home and communitybased services that assist medicaid beneficiaries to live in the. Rem is always looking for talented and caring individuals to support our diverse population of customers and. The waiting list for people with disabilities to get an idd intellectualdevelopmental disability waiver from the.
A place for west virginians involved with the title xix idd waiver program to share information, ideas, experiences, tips, and advocacy efforts. Be determined through the developmental disability determination application to experience a developmental disability dd as defined by alaska state law as 47. Review the medicaid program manual chapters 100, 200, 300, 400, 501, 600, 700, and 800 located on the west virginia bureau for medical services website. Intellectual and developmental disabilities waivers update. Claimsauthorizations for dates of service on or after october 1, 2015 must use the applicable icd10 diagnosis code that reflects the policy intent. Compendium of residential care and assisted living. Oct 02, 2015 the manual, based on the approved waiver application, is posted on the bms website dhhr. Idd program and employer handbook public partnerships. August 1, 2012 public partnerships, llc 60 east brockway avenue, suite e morgantown, wv 26501 phone. West virginia underwent the process of developing a transition plan pursuant to 42 cfr 441. Department of mental health bureau of intellectual and. Questions and answers from manual training october 2015 added 52416 cultural sensitivity training added 9914 incident management managing risk or potential of risk of health and safety of aged and disabled waiver clients.
Chapter 5 intellectual developmental disabilities idd waiver effective february 1, 2018. Virginias iddd waiver redesign update vaaccses annual provider conference june 8, 2015 connie cochran, assistant commissioner and dawn traver, waiver operations director division of developmental services virginia department of behavioral health and developmental services. Changes made to the intellectual developmental disabilities waiver application 55 2015 the west virginia department of health and human resources bureau for medical services bms has finalized changes to the fiveyear renewal application for the intellectualdevelopmental disabilities idd waiver. Subjects include training on the new budget methodology, the idd waiver policy changes effective february 1, 2018 and the proposed policy changes for the 2020 idd waiver renewal manual. The basic medicaid waiver provider application for certification is available to download here and the required w9 is available here. Chapter 5 intellectual and developmental disabilities waiver iddw effective 121 2015 disclaimer. Frequently asked questions wv state tax department. Due to the world health organization declaring coronavirus disease covid19 a pandemic, the west virginia bureau for medical services bms has expanded certain services and waived certain requirements that may be listed in the medicaid provider manual. The chip program in virginia is called family access to medical insurance securityfamis. A waiver is a term that allows a person with disabilities to apply for a program to waive certain requirements like financial need to gain medicaid services, which always include medical state plan medicaid as well sometimes also additional benefits outside of state plan. Idd services mississippi department of mental health.
Box 3784 charleston, west virginia, 253373784 phone. Intellectualdevelopmental disabilities waiver kepro. Policy manual west virginia department of health and human. The matter before the hearing official arises from a subsequent denial by the respondent from. Fy2020 4th quarter provider manual for community developmental disability providers april 1, 2020 page 3 of 103 summary of changes table updated for april 1, 2020 as version of the provider manual.
Please refer to the covid19 alerts and updates page for specific changes and updates. To be eligible for the isw or idd waiver, applicants must meet the following criteria. West virginia personal options idd waiver program goods. The bureau of senior services is responsible for the daytoday operations and oversight of the personal care program. West virginia personal options idd waiver program goods and. The idd waiver program provides severely disabled west virginia medicaid. Dds is working to implement this through training sessions and other agency wide. Intellectualdevelopmental waiver program policy handbook i. This profile reflects state managed care program information as of august 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.
The intellectual and developmental disabilities idd waiver program is intended to provide services to support and assist members to live and be as independent as possible. Additional topics of discussion include personal options services, service coordination and conflicts of interest, behavior support professional services. Per the waiver policy manual, individuals who apply for the program must be residents of wv. Rem st albans wv, 6404 maccorkle ave sw, saint albans, wv. The wv idd waiver program is a federally approved program for individuals with intellectual and developmental disabilities. Eliminate drastic 2015 cuts and budget caps to waiver budgets. By choosing the correct role the portal now knows which information to. Parents and legislators still looking for answers in idd. Assembly, beginning fall 2015 the waiver amendments will be submitted to cms to reflect the iddd systems phasedin approach to change. Idd waiver waitlist becomes political issue in west virginia election. Samples said west virginia was known in 2015 for having one of the most lucrative waiver programs in the nation, and that the changes made.
Methodology for wvs waiver transition plan application. Ppt wv idd waiver training for members and families. Chapter 5 intellectual and developmental disabilities waiver iddw chapter 5 public comments and responses chapter 5 west virginia behavioral health care providers association wvbhpa comments. Changed mrdd to idd waiver and clarified policy updated standard utility amounts removed povertylevel pregnant women. The service lets you pay your vehicle renewal fees quickly and conveniently using a credit card. To renew online, you must provide the following information.
West virginia intellectualdevelopmental disabilities dd waiver. West virginia, like all other states, has chosen to cover icfiid services in its medicaid state plan. As the umc, kepro provides management and oversight of medical eligibility and service level determinations in support of the bureaus personal care program. In accordance with the public notice requirements of 42 cfr 441. The manual, based on the approved waiver application, is posted on the bms website dhhr. Residential care settings are an important option for older adults and people with disabilities who require longterm services and supports.
Page 2 of 19 pss instructions 9115 plan of services and supports instructions plan of services and supports overview. West virginia personal options intellectualdevelopmental. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Judge restores benefits to people in wvs medicaid waiver program. Apr 09, 2015 the proposed changes to the idd waiver are intended to help the program operate within its budget and allow the program to serve more beneficiaries. Chapter 509 hospice services effective june 1, 2015.
Having heard the comments of families and providers in these settings, along with other information the council receives, we now offer the following comments to be considered for the 2015 idd waiver application. This fair hearing was convened on january, 2016, on an appeal filed october 7, 2015. Wv developmental disabilities council comments on 2015 idd. West virginia state tax department taxpayer services division p. Ph, rn, and christine okeeffe, rti international june 15, 2015 abstract. Personcentered thinking is a philosophy behind service provision that supports positive control and selfdirection of peoples own lives. After you have selected your role hit the next button to continue on to registration. The wv idd waiver program is a federally approved program for individuals with. Freedom for people with disabilities stephen smith for wv. West virginia and the rules and regulations established by the department of health and human. To apply to become a provider for the medicaid aged and disabled waiver program. The idd waiver specifically serves participants under the following 5 qualifying diagnoses. The current timeline projects that the waiver structural changes and new or revamped services will roll out on the following dates.
Waiver members, families, and providers by the wv bureau for medical services bms and aps healthcare. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Policy and forms west virginia department of health and. Wsaz parents and some lawmakers are still in shock over large budget cuts in west.
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