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The Traumatic Brain Injury (TBI) Waiver Program is a long-term care alternative, which provides services that enable individuals to live at home rather than receiving nursing facility care. The program provides home and community-based services to West Virginia residents who are medically and financially eligible to participate.
Kepro, contracted by the Bureau for Medical Services (BMS) is responsible for the day-to-day operations and oversight of the TBI Waiver program. This includes conducting the evaluations that determine medical eligibility for applicants and members, performing provider agency certification and quality/utilization reviews, reviewing requests for prior authorization, providing training and technical assistance to all stakeholders and reviewing requests for prior authorization of TBI Waiver services.
Beginning May 3, 2021, TBI Waiver Case Management Providers will utilize Atrezzo Next Generation (ANG) to submit Member’s Service Request. In addition, TBI Waiver Providers and/or PPL who are assigned to an applicant/ member will be able to access and review applicant/member’s case records including the completed Pre-Admission Screening (PAS), the applicable Rancho scale used to determine initial and reevaluation medical eligibility; medical eligibility determination letters; and Selection and Service Delivery Model (SDM), to name a few. Assigned TBI Waiver Providers and/or PPL will have the capacity to review and download attached documents and letters from the Member’s Case records for their files.
Atrezzo User Guides
Provider Training Material
Kepro staff is available for training and technical assistance and to receive complaints about TBI Waiver service provision.
Kepro Provider Educators and other UMC staff are available for training and technical assistance to TBI Waiver providers.
General Email: WVTBIWaiver@kepro.com
350 Capitol Street, Room 251
Charleston, WV 25301
Public Partnerships, LLC (PPL)
For Providers: 888.483.0793
For Members: 304.343.3380