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Intellectual/Developmental Disabilities Waiver

The Intellectual and Developmental Disabilities (I/DD) Waiver Program is intended to provide services to support and assist members to live and be as independent as possible. These services are provided in natural settings, such as the home and community.

The WV I/DD Waiver Program is a federally approved program for individuals with Intellectual and Developmental Disabilities. The program is operated in WV by the Bureau for Medical Services (BMS), who contracts with KEPRO as the Utilization Management Contractor (UMC).

KEPRO is responsible for the day-to-day operations and oversight of the I/DD Waiver program. This includes conducting Annual Functional Assessments, which are used to determine member yearly budgets and by the Medical Eligibility Contract Agent to determine eligibility. In addition, KEPRO conducts provider reviews, offers training and education to providers, members, and other stakeholders, and reviews requests for prior authorization if I/DD Waiver services.

I/DD Waiver 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. 

Consumer Education Goals - KEPRO Consumer/Family Educators and other staff are available for training and technical assistance, receiving complaints about I/DD Waiver service provision and to conduct the Participant Experience Survey.

Provider Education Goals - KEPRO Provider Educators and other staff are available for training and technical assistance to I/DD Waiver providers.

  • Educating providers about their duties to consumers, families and other stakeholders
  • Completing on-site utilization management and quality outcomes reviews to gather data and provide training/technical assistance to improve the quality of service documentation, services provided and consumer outcomes
  • Assisting providers with proper submission of requests for prior authorization
  • Educating providers about I/DD Waiver policy

I/DD Waiver Department Contacts:
Toll-Free : 866.385.8920
Phone: 304.380.0617
Fax: 866.521.6882
General Email: WVIDDWaiver@kepro.com  

Additional Resources
Bureau for Medical Services I/DD Wavier Program (for policy/forms, rates FAQs, etc.)
Website:  http://www.dhhr.wv.gov/bms/Programs/WaiverPrograms/IDDW/Pages/default.aspx
350 Capitol Street, Room 251
Charleston, WV 25301
Phone:  304.558.1700
Fax:  304.558.4398

Fiscal Employer Agent (Personal Options)
Public Partnerships, LLC (PPL)
Website:  http://www.publicpartnerships.com/programs/WestVirginia/WVIDD/index.asp
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.aspx
Phone:  800.352.6513

Office of Health Facility Licensure and Certification (OHFLAC)
Website:  http://ohflac.wvdhhr.org

408 Leon Sullivan Way
Charleston, WV 25301
Phone:  304.558.0050
Fax:  304.558.2515

WV CARES
Website: https://www.wvdhhr.org/oig/wvcares.html
Phone: 304.558.2018
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