Chapter 5 intellectual and developmental disabilities. Number of persons on medicaid 1915c hcbs waiver wait lists, 2016 although the medicaid 1915c waiver program is the largest medicaid hcbs home and communitybased services programs in the nation, states are restricted as to how many persons can be served on the program in a given year. The program policy was established in wv medicaid chapter 535 and utilized to establish kepros utilization guidelines. 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.
Home and communitybased services hcbs waiver program. Policies are described in the bureau for medical services aged and disabled waiver manual. The electronic medicaid provider manual contains coverage, billing, and reimbursement policies for medicaid, healthy michigan plan, childrens special health care services, maternity outpatient medical services moms, and other healthcare programs administered by the michigan department of health and human services mdhhs. Please be advised that the west virginia medicaid provider manual does not address. Microsoft word version please note the file may ask for a password just press enter. Aged and disabled waiver stakeholder suggestion form an electronic document to be used for making comments and suggestions regarding the program. 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. Bureau for medical services bms west virginia department of. Frequently asked questions wv state tax department. Eliminate drastic 2015 cuts and budget caps to waiver budgets.
Number of persons on medicaid 1915c hcbs waiver wait. Parents and legislators still looking for answers in idd. Chapter 5 intellectual and developmental disabilities waiver iddw. 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. The matter before the hearing officer arises from the february 24, 2015decision by the respondent to deny claimants application for the title xix idd waiver program. A place for west virginians involved with the title xix idd waiver program to share information, ideas, experiences, tips, and advocacy efforts. Claimsauthorizations for dates of service on or after october 1, 2015 must use the applicable icd10 diagnosis code that reflects the policy intent. Division of budget and analysis 2001 mail service center raleigh, nc 276992001 9198554850. West virginia offices of the insurance commissioner. The intellectual developmental disabilities waiver iddw program formerly the mrdd waiver program provides services that instruct, train, support. Residential care settings are an important option for older adults and people with disabilities who require longterm services and supports. Home and community based services waiver provider manual. 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. Using this option, states can design and demonstrate a wide range of approaches to reforming child welfare and improving outcomes in the areas of.
West virginia personal options intellectualdevelopmental. To be referred to the personal options program, a wv idd waiver member or hisher legal. To apply to become a provider for the medicaid aged and disabled waiver program. Home and communitybased services hcbs billing codes.
This page provides basic information about medicare andor medicaid provider compliance with national fire protection association nfpa 101 life safety code lsc and nfpa 99 health care facilities code hcfc requirements and includes links to applicable laws, regulations, and compliance information. State waivers list section 1115 demonstrations and waiver authorities in section 1915 of the social security act are vehicles states can use to test new or existing ways to deliver and pay for health care services in medicaid and the childrens health insurance program chip. The wv idd waiver program is a federally approved program for individuals with intellectual and developmental disabilities. Rem st albans wv, 6404 maccorkle ave sw, saint albans, wv. Policy manual west virginia department of health and human. Wsaz parents and some lawmakers are still in shock over large budget cuts in west virginias idd waiver program. Chapter 5 west virginia behavioral health care providers association wvbhpa. Welcome to the department of medical assistance services dmas homepage. State or federal health and social services programrelated crimes. The basic medicaid waiver provider application for certification is available to download here and the required w9 is available here. The 1915 c waiver is known as the home and communitybased services waiver hcbs because it allows states to treat certain medicaid populations in home or other community based settings rather than in institutional or longterm care facilities such as hospitals or nursing homes.
Virginia department of health and human resources common chapters manual. The company formally changed its name to kepro august 1, 2016 to unite with its parent companys brand, mission, and values. These will all take place in the charleston area, at the coonskin park clubhouse oak room. Idd waiver 2015 manual training registration form how to report abuseneglect brochure idd 01 application idd 01 application iddw attestation form not available in this format idd direct support services living arrangement assessment idd direct support services living arrangement assessment. Medicaid waiver services, codes, and rates, effective july. Version 6 added 717 aged and disabled waiver quality assurance and improvement advisory council vacancy announcement and membership form. Chapter 509 hospice services effective june 1, 2015. Here you will find its comments for the past several years. Intellectualdevelopmental disabilities waiver west virginia. On january 3, 2014, the internal revenue service issued notice 20147, 20144 i.
Policy and forms west virginia department of health and human. Crimes against caredependent or vulnerable individuals. This fair hearing was convened on november 12, 2015, on an appeal filed september 16, 2015. Friday november 6, 2015 one from 1pm3pm and the other from 5pm7pm.
Kepro is a utilization management company that provides services to the west virginia feeforservice medicaid population. Waiver members, families, and providers by the wv bureau for medical services bms and aps healthcare. Do or advanced practice nurse licensed in the state of wv. West virginia department of health and human resources, bureau for medical services began planning the implementation of health homes in 2011. The manual, based on the approved waiver application, is posted on the bms website dhhr. Two additional trainings for membersfamilies will be conducted. Policy and forms west virginia department of health and.
The council submits comments to the bureau for medical services each time changes are proposed to the idd waiver manual. Compendium of residential care and assisted living. The child welfare waiver demonstration authority provides states with an opportunity to use federal funds more flexibly in order to test innovative approaches to child welfare service delivery and financing. The intellectual developmental disabilities waiver iddw program formerly the mrdd waiver program provides services that instruct, train, support, supervise, and assist individuals who have intellectual disabilities andor developmental disabilities in achieving the highest level of independence and selfsufficiency possible in their lives. In accordance with the public notice requirements of 42 cfr 441. Through this new rule, cms intends to ensure that individuals receiving home and communitybased services through medicaid waivers have full access to integrated, community living including receiving services in the most integrated setting possible. The department, in partnership with employment stakeholders, has developed an employment first guidebook. Box 3784 charleston, west virginia, 253373784 phone. Chapter 5 intellectual developmental disabilities idd waiver effective february 1, 2018.
Freedom for people with disabilities stephen smith for wv. West virginia medicaid health homes provider manual. Virginia department of medical assistance services. Rem is always looking for talented and caring individuals to support our. The idd waiver iddw program is west virginias home and communitybased services program for. Virginias medicaid waivers for persons with disabilities, their parents, and caregivers introduction medicaid waivers were developed to encourage people with disabilities and the elderly to access services in their homes and communities. Home and community based services waiver provider manual this manual is the authorized reference document for indiana medicaid hcbs waiver service providers and the administration of those programs. Ph, rn, and christine okeeffe, rti international june 15, 2015 abstract.
The west virginia department of health and human resources dhhr, bureau for medical services bms has. Chapter 400 member eligibility effective december 1, 2015 chapter 400 public comments and responses effective december 1, 2015 chapter 400 member eligibility effective october 1, 2003 and revised january 1, 2005. Medicaid waiver services, codes, and rates, effective july 1, 2016 for family supports fsw waiver and community integration and habilitation cih waiver and money follows the person community integration and habilitation mfpcih grant waiver type insite code service description natl. Home and communitybased services hcbs billing codes and reimbursement rates home cd description.
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. February, 2007 address any comments concerning the contents of this manual to. This guidebook was created to provide case managers, care managers, service coordinators and integrated health home care coordinators with critical information, resources and tools to help them do the best possible job of assisting transitionage youth and working. Idd waiver 2015 west virginia department of health and human. The matter before the hearing officer arises from thejuly 9, 2015 decision by the respondent to deny appellants application for the title xix idd waiver program. Chapter 5 intellectual and developmental disabilities waiver. 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. This chapter does not address all the complexities of medicaid policies and procedures, and must be supplemented with all state and federal laws and regulation. The program is operated in wv by the bureau for medical services bms, who contracts with kepro as the utilization management contractor umc. Certain medicaid waiver payments may be excludable from. Intellectualdevelopmental disabilities waiver kepro. Manual archive west virginia department of health and. West virginia personal options public partnerships. Our mission at dmas is to provide a system of high quality and cost effective.
Dmas is the agency that administers medicaid and the state childrens health insurance program chip in virginia. 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. West virginia state tax department taxpayer services division p. August 1, 2012 public partnerships, llc 60 east brockway avenue, suite e morgantown, wv 26501 phone. 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. D2 idd waiver manual, chapter 5 covered services, limitations, and exclusions. Policy manual west virginia department of health and. Chapter 5 intellectual and developmental disabilities waiver iddw effective 121 2015 disclaimer. West virginia, like all other states, has chosen to cover icfiid services in its medicaid state plan. Negative findings that would disqualify an applicant in the wv cares rule. This fair hearing was convened on may 28, 2015, on an appeal filed march 30, 2015. Notice 20147 provides guidance on the federal income tax treatment of certain payments to individual care providers for the care of eligible individuals. Division of developmental disabilities services delaware. The chip program in virginia is called family access to medical insurance securityfamis.
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