West Virginia

Department of Health, Department of Health Facilities, and Department of Human Services

Department of Health
Department of Health Facilities
Department of Human Services

Proposed Changes to Intellectual Developmental Disabilities Waiver


The West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), has posted for public comment a draft five-year renewal application for the Intellectual Developmental Disabilities Waiver (IDDW).  The IDDW provides community-based services to people who have intellectual and/or developmental disabilities who would otherwise qualify for placement in an institutional setting.
In 2014, the IDDW covered 4,534 individuals for a total expenditure of $385 million, with the average cost per member of $85,000.  West Virginia appropriates $89 million a year from state general revenue funds for the IDDW program.  For the last three years, the state spent more than $41 million in state dollars over its allotted budget.  Since FY 2010, the amount spent for IDDW has increased by more than $110 million. 
“The proposed changes to the IDD Waiver are intended to help the program operate within its budget and allow the program to serve more beneficiaries. Currently, there are more than one thousand West Virginians on the waiting list for these services,” said Jeremiah Samples, DHHR Deputy Secretary of Public Health and Insurance. “By making adjustments, we believe that we will be able to assist more state residents who qualify for these services.”  
When considering modifications to the waiver, BMS compared other states’ IDD benefits to West Virginia’s waiver services. West Virginia’s IDD Waiver in total is more generous compared to other states.  West Virginia is only one of a few states that pays parents to care for their children under the IDDW program.   
The proposals in the draft waiver were made to align West Virginia with surrounding states, control spending and provide the opportunity for more people to receive IDDW services.  The IDD Waiver program was never intended to support the family financially; it is based on the assumption that natural supports, such as family and friends, would provide some services without being paid for them. 
“I encourage anyone with any questions or concerns to read the application and provide a detailed comment during the 30 day period,” said Cynthia Beane, Acting Commissioner for the Bureau for Medical Services.  “It’s very important for us to hear from the public as the comments received will be taken into consideration when the final recommendations are made.”
To view a copy of the draft IDDW application, visit www.dhhr.wv.gov/bms.  The public comment period ends at 5:00 p.m. on April 24, 2015.
To submit a comment, please email IDDWComment@wv.gov or mail to the WV Bureau for Medical Services, HCBS Unit, 350 Capitol Street, Room 251, Charleston, WV 25301.

Contact Information

Media Contact: Allison Adler, Director of Communications - DHHR, allison.c.adler@wv.gov or (304) 558-7899
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