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Intellectual/Developmental Disabilities Waiver

West Virginia’s Intellectual and Developmental Disabilities (I/DD) Waiver Program is a 1915c Medicaid Waiver approved by the federal Centers for Medicare and Medicaid Services (CMS) for eligible West Virginia residents with an intellectual and/or developmental disability.  As a Home-and-Community Based Services (HCBS) program, the I/DD Waiver offers services in members’ homes and communities, as opposed to an institutional setting.

The program is operated by the West Virginia Department of Health and Human Resources’ Bureau for Medical Services (BMS), who contracts with KEPRO as the Utilization Management Contractor, or UMC.  As the UMC, KEPRO is responsible for day-to-day operations and oversight of many aspects of the program.  This includes:

  • Conducting Annual Functional Assessments with each member that are used to determine the annual budget and by the Medical Eligibility Contract Agent (MECA) to determine continued eligibility;
  • Providing education and technical assistance to agency providers;
  • Reviewing each agency provider annually and reporting findings to BMS;
  • Training and education for members and their supports;
  • Processing and addressing member complaints;
  • Making determinations on requests for service authorization; and
  • Many other tasks as requested.

KEPRO offers a comprehensive CareConnection© web portal for provider and other stakeholder use.  The system accommodates various user roles and is used for data collection and submission. 

Member/Family Information

The KEPRO Member/Family Liaison is available for questions about the program, as well as to receive and address complaints about service provision.  Additionally, a team of KEPRO staff each year conducts the Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.

To participate in the CAHPS survey or for more information on the I/DD Waiver program, call or email KEPRO using the phone numbers or general email address provided below.

Member/Family Resources:

 

Agency Provider Information

Each I/DD Waiver agency is assigned a Provider Educator for technical assistance, training, and annual review.  Agencies are encouraged to designate one staff person to maintain contact with their KEPRO Provider Educator, to ensure that information is received and conveyed as effectively and efficiently as possible. 

Agency Provider Resources:

IDD Waiver Forms

Other Forms

Helpful Hints

UPDATED**I/DD Waiver Provider Manual

 

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. 

 

I/DD Waiver Department Contacts

Toll-Free:  866.385.8920

Phone:  304.380.0617

Fax:  866.521.6882

General Email:  WVIDDWaiver@kepro.com

Documentation Requested Email:  IDDWDocRequested@kepro.com

Exceptions Request Email:  IDDWExceptions@kepro.com

 

Additional Resources

Bureau for Medical Services (BMS)

Website:  West Virginia Bureau for Medical Services (BMS) I/DD Waiver

350 Capitol Street, Room 251

Charleston, WV 25301

Phone:  304.558.1700

Fax:  304.558.4398

 

Fiscal/Employer Agent for Self-Directed (Personal Options) Services

Public Partnerships, LLC (PPL)

Website:  PPL West Virginia IDD Waiver

Phone:  877.908.1757

EFax:  304.988.4201

 

Claims Processing

Gainwell Technologies

Website: WV Medicaid Management Information System

Call Center for Questions:  888.483.0793

 

Electronic Visit Verification (EVV) Vendor

HHAeXchange

Phone:  866.983.4627

EMail:  wvsupport@hhaeXchange.com

 

West Virginia Protective Services

Website:  West Virginia Bureau for Children & Families

Hotline to Anonymously Report Suspected Abuse/Neglect/Exploitation:  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
WV CARES Helpful Tips