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Care at home for beneficiaries with intellectual and/or developmental disabilities​​

Care at Home
for Members with Intellectual a​nd/or Developmental Disabilities​

What is the Intellectual and/or Developmental Disabilities Waiver (IDDW)?

​The Intellectual/Developmental Disabilities Waiver (IDDW) program is for children and adults with disabilities. The program provides services that help to teach, train, support, guide and assist members reach the highest level of independence possible in their lives.

The IDDW program, formerly MR/DD Waiver program, provides these services in homes and areas where the member lives, works, and shops instead of in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).


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The IDDW is for people who:

  • ​​Are at least three years of age
  • Are West Virginia residents on the date the application form is turned in and can provide proof of residency at that time
  • Have a diagnosis of an intellectual disability and/or similar condition that is severe before age 22
  • Have difficulties in at least three of the following six areas:
    1. Self-care;
    2. Language and communication;​
    3. Learning;
    4. The ability to move around freely;
    5. The ability to make good decisions about themselves; or
    6. The ability to live alone.
  • Are financially eligible, approved through the local West Virginia Department of Health and Human Services Office
  • Will choose Home and Community-Based Services (HCBS) over care in facilities such as Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs).
  • Are able to provide a safe place to work for IDDW program staff who  provide  services in the member's home

IDDW members cannot be paid caregivers in another waiver program or the Medicaid Personal Care Services program.

Financial eligibility will be checked at least every year or more often if members have a change in income. Member's medical eligibility will be reviewed each year through an interview given by the utilization management contractor (UMC). 



The IDDW services include:​​

  • Assistance to help manage behavior (behavior support)
  • Case management
  • Support that focuses on the member
  • Crisis services
  • Electronic monitoring
  • Extended professional services that include:
    • ​Physical therapy
    • Speech therapy
    • Occupational therapy
    • Dietary therapy
  • Care during the day in a facility
  • Skilled nursing that includes:
    • Registered Nurse (RN) Services
    • Licensed Practical Nurse (LPN) Services
  • Job readiness
  • Job development
  • Support during employment
  • Assistance to give caregivers a break
  • Changes to homes and vehicles that make life easier for members
  • Transportation services – Help with rides to and from services included in the member's plan

Members may receive care through a regular IDDW agency that  will provide employees for them, or they may self-direct some services themselves. This means employees work directly for members.


To begin the IDDW application process, fill out the form by clicking the link below.

Submit your completed IDDW application form via mail, fax, or email to:

Acentra Health

1007 Bullitt St. Suite 200 Charleston, WV 25301

Fax: (866) 521-6882

Email: WVIDDWaiver@kepro.com

You will receive a packet from Kepro with a list of  psychologists approved to complete your medical evaluation. You must choose a psychologist from this list and return your choice to the address on the bottom of the form within 14 days, or your application will be closed. Call the office of the psychologist you choose to schedule your appointment. At the appointment, the psychologist will test you to see if you qualify.


If you have not heard back from Kepro within five business days, please call toll-free at 866-385-8920 for help.

Once you meet medical requirements, you must also meet financial requirements, and a space must be open for you to begin receiving services. Call or visit your local West Virginia Department of Human Services (DoHS) office for financial requirements. It is recommended you call and make an appointment to make sure you have all the required information to bring with you.


​​For more information on IDDW, please contact:

​​IDDW Program
Bureau for Medical Services
350 Capitol Street, Room 251
Charleston, WV 25301
Phone: (304) 558-1700
​​Utilization Management Contractor
Acentra Health
1007 Bullitt Street, Second Floor
Charleston, WV 25301
Phone: (866) 385-8920 | (304) 380-0617​

  1. ​​​Can I apply for IDDW services while on another waiver waitlist?
    Yes. However, you cannot be on multiple waivers at the same time. You can be on IDDW and State Plan Personal Care at the same time if you qualify but not another waiver.

  2. How long does the IDDW last?
    Medical and financial requirements must be reviewed annually. If the member meets the requirements in both categories each year, there is no limit to how long someone can stay on the program.

  3. ​How long does it take to go through the IDDW referral process?
    Applicants who ultimately meet medical eligibility can typically expect a 90 to 105-day timeframe between application and approval depending on the scheduling availability of the chosen evaluating psychologist. If a slot is not immediately available, the approved applicant will be placed on a managed enrollment list (waitlist), which can add to the time before receiving IDDW services.

  4. Are there any services I can use while I am on a waitlist for the IDDW?
    Yes. Once approved for IDDW, you will receive a letter listing all the services that the family/individual may qualify for while waiting for a slot to become available.

Some of these services are listed below:

  • ​The Waitlist Support Grant is for people on the IDDW eligibility application list. The grant will help pay for services such as care during the day in a facility (adults over age 18), help to give caregivers a break, support during employment, a person to help manage behavior, and changes to a home or vehicle to make it easier for the member. Contact DoHS' ​Bureau for Behavioral Health, Developmental Disabilities Division at 304-356-4811 or visit the Division's ​​website for more information.​​​
  • The Family and Community Support Program will provide money for several services: to help give caregivers a break (respite care), rides to and from services, equipment needs of the child, assistance with health-related needs (therapy costs, medical equipment not covered by insurance, etc.), getting goods and services in the community, and changes to your home to make it more accessible for the member. For more information, contact DoHSs Bureau for Behavioral Health, Developmental Disabilities Division at 304-356-4811 or visit the Division's website.
  • The Children with Disabilities Community Services Program (CDSCP) gives help to severely disabled children who meet the program's eligibility needs. The CDCSP gives community-based medically necessary services that don't cost as much as institutional ones. CDCSP is a Medicaid program for children under 18 years old that gives them a medical card for services such as physical therapy, occupational therapy, speech therapy, physician services, medicine, care at a hospital, equipment and supplies for use at home, etc. For more information, call DoHs' Bureau for Medical Services at 304-558-1700 or visit the CDCSP ​​website.
  • The Children with Special Health Care Needs Program helps improve the health and well-being of children and youth with certain conditions that are constant and weakening. The program gives special medical care and care coordination services to children under 21 years old who meet financial and medical requirements. This program is offered by DoHS' Bureau for Public Health, Office of Maternal, Child and Family Health. You can call this office at 304-558-5388.
  • Private Duty Nursing services is a Medicaid program for children under 21 years old that provides in-person skilled nursing in the child's home. The care is more specific and stable than the nursing services under home health benefits or provided by a hospital or nursing facility. Private Duty Nursing is supportive of the care provided to someone by their family, foster parents, and/or assigned caregivers. For more information, please call DoHS' Bureau for Medical Services at 304-558-1700 or visit the Private Duty Nursing website.
  • Children over age three may be eligible for the Medicaid Personal Care Program. This program includes hands-on, in-home services, including help with daily living, dressing, eating, bathing, and other areas of need. To be eligible for this program, you must be able to perform specific tasks that a medical professional will give you. You must also be financially eligible, which your local DHHR office will determine. For more information, please visit the Personal Care Services website or call the WV Bureau of Senior Services at 866-767-1575.​


Click here for the IDDW application form. 

Find a

Click here to find an IDDW provider near you. 

Info for

Click here for additional waiver information and benefits for home and community-based services members. 

Info for

Click here for home and community-based services provider resources.


Click​ ​he​​re for the IDDW Fact Sheet.​

Non-Emergency Medical Transportation Information

Individuals who have a West Virginia Medical Card may be eligible for transportation to and from ro​utine medical appointments. For more information, call 1-844-549-8353, Monday through Friday, between 7:00 am to 6:00 pm. To learn more, please click here.​