West Virginia

West Virginia currently has four Medicaid waivers/programs that can serve children, including a TEFRA program and three home and community based 1915(c) waivers. This includes a new program for children with Serious Emotions Disorder that was started in March 2020. The TEFRA program is based only on child income without regard to parent income, while the DD and TBI waivers do count parent income. For more information, see West Virginia's Medicaid Waivers page.

West Virginia also has an adult-only waiver for Aged and Disabled.

Advocacy Organizations in West Virginia:

Last updated 9/3/21

Programs in West Virginia

CHILDREN WITH DISABILITIES COMMUNITY SERVICE PROGRAM
  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child's income only. Parent income is not counted.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Children with Disabilities Community Service Program and brochure
  • How to Apply: Contact the Program at 304-776-7230 or apply through PCA Solutions
  • Waiting List: none
INTELLECTUAL/DEVELOPMENTAL DISABILITY
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: none
  • Waiver Type: 1915(c)
  • Spots: 5964
  • Expiration Date: 6/30/2025
  • Description from medicaid.gov: Provides facility based day hab, home-based agency person-centered support, in-home respite,  prevocational, service coordination, supported employment, dietary therapy, OT, PT, speech therapy, participant-directed goods and services, behavior support professional,, crisis intervention, crisis site person-centered support, electronic monitoring, environmental accessibility adaptations, family person-centered support, job development, licensed group home person-centered support, out-of-home respite, skilled nursing by a LPN, skilled nursing a RN, transportation, unlicensed residential person-centered support for individuals with ID/DD, ages 3 - no max age.
  • Online State Information: Intellectual/Developmental Disabilities Waiver
  • Official Federal Information
  • How to Apply: Contact the Program Manager at (304) 352-4216 or follow these application instructions. Evaluation is through Kepro.
  • Waiting List: There are 1200 people with developmental disabilities on West Virginia's waiting list.
TBI
  • Target Population: Children and adults with traumatic brain injuries.
  • Ages: 3+
  • Levels of Care: Nursing Facility
  • Income Waiver: none
  • Waiver Type: 1915(c)
  • Spots: 90
  • Expiration Date: 6/30/2025
  • Description from medicaid.gov: Provides case management, personal attendant services, community transition services, pre-transition case management, and transportation to individuals with brain injuries, ages 3 - no max age.
  • Online State Information: Traumatic Brain Injury Waiver and this brochure
  • Official Federal Information
  • How to Apply: Contact the Program Manager at (304) 352-4240 or follow these application instructions. Evaluation is through Kepro.
  • Waiting List: There are 1200 people with developmental disabilities and 6 with TBI/SCI on West Virginia's waiting list.
CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE
  • Target Population: Children, including foster children, with serious emotional disturbance or mental illness
  • Ages: 3-21
  • Levels of Care: Hospital (PRTF)
  • Income Waiver: unknown
  • Waiver Type: 1915(c) with partial managed care component
  • Spots: 2000
  • Expiration Date: 1/31/2023
  • Description from medicaid.gov: Provides case management, in-home family support, independent living/skills building, job development, respite care- in-home, supported employment- individual, assistive equipment, community transition, in-home family therapy, mobile response, non-medical transportation, peer parent support, respite care- out-of-home, specialized therapy for individuals with mental illness ages 18-21 years, and serious emotional disturbance ages 3-17 years.
  • Online State Information: Children with Serious Emotional Disturbance Waiver and this brochure
  • Official Federal Information
  • How to Apply: Contact the program at 304-352-4320. Evaluation is performed by Kepro.
  • Waiting List: none
OTHER PROGRAMS