Empowering Independence:
Expert Case Management and In-Home Direct Care Services

The Title 19 Intellectual and Developmental Disabilities Waiver (IDDW) is a home and community-based services program developed to reimburse for services that instruct, train, support, supervise, and assist individuals who have intellectual and/or developmental disabilities. The goal is to increase independence and ensure access to resources that will allow individuals to remain in their own homes and communities.

• Meet medical eligibility
• Meet financial eligibility
• Be at least three years of age
• Be a resident of WV and be able to provide proof of residency with an application
• Choose home and community-based services over an institutional setting
• To be medically eligible, the applicant must require the level of care and services provided in an ICF/IID.
  

• Anyone wishing to apply for IDDW must submit an application to the Utilization Management Contractor (UMC). Applications can be found at local DHHR offices, BMS’s website, and any IDDW provider.
• Applications can be submitted directly by the individual/family or can be sent back to a CCIL supervisor to be submitted and tracked as a referral.
• Once the application has been submitted, the UMC will contact the applicant within three business days and provide a list of independent psychologist trained by the Medical Eligibility Contracted Agent (MECA).
• The applicant will choose a psychologist and schedule an appointment within 14 days.
• The psychologist is responsible for completing the evaluation and uploading it to the UMC CareConnection within 60 days.
• MECA will then make a final medical eligibility determination within 30 days of receiving the IPE. A written decision will be mailed to the applicant.

Services offered through CCIL include the following:

• Family Person-Centered Supports
• Home-Based Person-Centered Supports
• In-Home and Out of Home Respite
• Case Management
• Behavior Support Professional
• Skilled Nursing by an LPN
• Skilled Nursing by an RN
• Speech, Physical, Occupational, and Dietary Therapy
• Transportation: Miles
• Environmental Accessibility Adaptation – Home & Vehicle

Other services available not offered through CCIL include (CCIL can link to these services):

• Crisis Site Person-Centered Supports
• Crisis Intervention
• Facility-Based Day Habilitation
• Job Development
• Pre-Vocational Training
• Supported Employment
• Electronic Monitoring
• Licensed Group Home Person-Centered Supports
• Unlicensed Residential Person-Centered Supports
• Transportation: Trips

Yes, parents and guardians can be employed and reimbursed to provide IDDW services to their loved ones provided they meet the hiring and training requirements set forth by the Bureau of Medical Services

The applicant’s monthly income may not exceed 300% of the current maximum monthly Supplemental Security Income (SSI) payment for a single individual. Applicants who are found to be financially eligible will receive a letter (ESNL-A) from DHHR. The maximum monthly SSI payment may be found by contacting the local county DHHR office or local Social Security Administration office.

Only the applicant’s personal income is considered for determination.

The parent’s or spouse’s income is not considered for determining financial eligibility.

An applicant does not have to be SSI eligible to become eligible for the IDDW Program.

Assets:

An individual’s assets, excluding residence, furnishings, and personal vehicle (owned and registered in the person’s name) may not exceed $2,000.

The parent’s assets are not considered for determining financial eligibility.

• If an individual wants to transfer services to CCIL they will need to contact their current case manager and indicate that they want to transfer
• The current CM will contact CCIL and initiate the transfer by providing CCIL with basic information such as the current treatment plan, any type of behavior plan (as applicable), and a copy of their current eligibility letter. and a copy of the current psychological and medical evaluations.
• CCIL staff will review these forms to ensure that CCIL can provide adequate services to the client that meets their needs.
• Upon acceptance of the referral, the client’s current CM must schedule a transfer meeting with CCIL and complete several documents specific to the UMC.