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The Aged and Disabled Waiver (ADW) Program is a long-term care alternative providing services designed to support and assist individuals who are aged or have disabilities.  Locations for services include members' homes and communities where they reside, work and perform daily activities as opposed to in a nursing facility.  The objective of this program is to promote choice, independence, participant-direction, respect, and dignity by providing person-centered services.  The WV ADW Program is a federally approved program operated in WV by the Bureau for Medical Services (BMS), who contracts with KEPRO as the Utilization Management Contractor (UMC).

 

The Bureau of Senior Services is responsible for the day-to-day operations and oversight of the ADW Program. As the UMC, KEPRO is responsible for conducting initial and re-evaluation medical eligibility assessments, maintaining analyzing and providing program enrollment data and supporting the program’s processes through the comprehensive, web-based CareConnection© system.  KEPRO also reviews and determines prior authorization decisions for requested services.

 

ADW CareConnection© - KEPRO provides a comprehensive CareConnection© system for data collection and submission.  The system accommodates various user roles and even supports work performed by other BMS contractors.

 

Aged and Disabled Waiver Contact Information:


Phone: 844.723.7811
Fax: 866.212.5053
General Email:  WVADWaiver@kepro.com 
Additional Information for PAS: ADWDocumentation@kepro.com

Additional Resources


Bureau for Medical Services
Website:  http://www.dhhr.wv.gov/bms/Programs/WaiverPrograms/ADWProgram/Pages/default.aspx    
350 Capitol Street, Room 251
Charleston, WV 25301
Phone:  304.558.1700
Fax:  304.558.4398

Bureau of Senior Services – Operating Agency
Website:  http://www.wvseniorservices.gov/HelpatHome/MedicaidAgedandDisabledWaiver/tabid/77/Default.aspx
1900 Kanawha Blvd., East
Charleston, WV  25305
Phone:  304.558.2241

Fiscal Employer Agent (Personal Options)
Website:  http://www.publicpartnerships.com/programs/westvirginia/PersonalOptions/index.html
Public Partnerships, LLC (PPL)
Phone:  877.908.1757
Efax: 877.567.0071

Claims Processing
Molina Medicaid Solutions
Website:  https://www.wvmmis.com/default.aspx
For Providers:  888.483.0793
For Members:  304.343.3380
Fax:  304.348.3380

West Virginia Protective Services
Website:  http://www.dhhr.wv.gov/bcf/Services/Pages/default.asp

Phone:  800.352.6513

WV CARES
Website: https://www.wvdhhr.org/oig/wvcares.html

Phone: 304.558.2018
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