West Virginia – IDD Waiver

Waiver Title

IDD Waiver

Description of Emergency

N/A

Waiver Description

N/A

Start Date

12-03-20

End Date

30-06-20

Description of Transition Plan

transition back to pre-emergency status by 7/1

Area(s) Affected

Area Affected

statewide

Increase Cost Limits

N/A

Modify Targeting Criteria

N/A

Modify Scope or Coverage

N/A

Exceed Service Limitations

allowed to exceed respite and person centered support services as needed due to closing of day programs and public schools when primary caregiver is unavailable to provide support

Add Services

N/A

Expand Settings

out of home respite may be provided in locations other than licensed specialized family care homes

Provide Service Out of State

N/A

Allow Payment for Services by Families

N/A

Modification of Provider Qualifications

staff training qualifications and criminal background check suspended until 7/1; virtual training allowed;

Modify Provider Types

N/A

Modify Licensure/Requirements for Waiver Settings

annual and six month follow up quality reviews of provider agenices suspended until 7/1

Modification LOC Eval and Re-Eval Processes

initial eligibility assessment/reassessment conducted remotely; re-assessment may be voluntarily postposed until 7/1;

Increase Payment Rates

N/A

Modifications of ISP

PCP plans/revisions may be approved and backdated for service needs identified to mitigate harm or risk directly related to pandemic; 3 month extension of PCPs; additional time on case by case basis;

Modify Incident Reporting/Med Management Safeguards

N/A

Allow Payment for Services During Acute Care Hospital/Short Term Institutional Stay

allow payment for Person-Centered Support Services Family and Home-Based Family as well as in-Home Respite to support a member who resides in their natural family home during acute care hospital stays; members who reside in small group settings (4 or less) are already allowed to have support during acute hospital stays.

Inclusion of Retainer Payments

Agencies that provide day serivces (Facility-Based Day Hab, Job developmentak, pre-voc trng, and Supp Emp) will be eligible to receive retainer payments. Can only be billed for members that are not receiving planned services and only for the amt of service authorized.

Institute/Expand Opportunities for Self-Direction

N/A

Increase Factor C

N/A

Other Changes Necessary

allow beneficiaries to rec. fewer than one service/month 110 days w/o being subject to discharge; waiver monthly face to face case managements home visits/phone call required; waive f2f enrollment meetings for those who self-direct but monthly phone call required; Bx support professionals and nurses may provide services electronically; IPP meetings may be conducted by phone or electronically, allow skilled nursing services to be billed for routine med admin tasks usually performed by AMAP staff; quartelry provider meetings held via webinar;

Addendum

HCBS Regulations

Not comply with the HCBS settings requirement at 42 CFR 441.301(c)(4)(vi)(D) that individuals are able to have visitors of their choosing at any time, for settings added after March 17, 2014, to minimize the spread of infection during the COVID-19 pandemic.

Services

Add Electronic Method of Service Delivery

N/A

Add Home Delivered Meals

N/A

Add Medical Supplies, Equipment and Appliances

N/A

Add Assistive Technology

N/A

Conflict of Interest

Other Changes Necessary

allow beneficiaries to rec. fewer than one service/month 110 days w/o being subject to discharge; waiver monthly face to face case managements home visits/phone call required; waive f2f enrollment meetings for those who self-direct but monthly phone call required; Bx support professionals and nurses may provide services electronically; IPP meetings may be conducted by phone or electronically, allow skilled nursing services to be billed for routine med admin tasks usually performed by AMAP staff; quartelry provider meetings held via webinar;

Other Changes Necessary

allow beneficiaries to rec. fewer than one service/month 110 days w/o being subject to discharge; waiver monthly face to face case managements home visits/phone call required; waive f2f enrollment meetings for those who self-direct but monthly phone call required; Bx support professionals and nurses may provide services electronically; IPP meetings may be conducted by phone or electronically, allow skilled nursing services to be billed for routine med admin tasks usually performed by AMAP staff; quartelry provider meetings held via webinar;

Provider Qualifications

Allow Spouses and Parents of Minor Children to Provide Personal Care Servcies

N/A

Allow a Family Member to be Paid to Render Services to an Individual

N/A

Allow Other Practitioners in Lieu of Approved Providers Within the Waiver

N/A

Modify Service Providers for Home-Delivered Meals to Allow for Additional Providers, Including Non-Traditional Providers

N/A

Processes

Allow an Extension for Reassessments and Reevaluations for up to One Year Past the Due Date

N/A

Allow the Option to Conduct Evaluations, Assessments, and Person-Centered Service Planning Meetings Virtually/Remotely in lieu of Face-to-Face Meetings

N/A

Adjust Prior Approval/Authorization Elements Approved in Waiver

N/A

Adjust Assessment Requirements

N/A

Add an Electronic Method of Signing Off on Required Documents Duch As The Person-Centered Service Plan

N/A

Link To Application

https://www.medicaid.gov/state-resource-center/downloads/wv-appendixk-appvl-ltr.pdf

Link to Approval Letter

https://www.medicaid.gov/state-resource-center/downloads/wv-appendixk-appvl-ltr.pdf