
The Medicaid Aged and Disabled Waiver (ADW) Program provides in-home and community services to individuals 18 years of age and older who are medically and financially eligible. Medical eligibility is based on a functional assessment by a medical professional. (A Medical Necessity Evaluation Request must be completed by applicant and the applicant's physician.) Financial eligibility is determined at the county Department of Health and Human Resources offices; assets cannot exceed $2,000 and income can be no more than $2,022 per month. Policies are described in the Bureau for Medical Services’ Aged and Disabled Waiver Manual.
Effective July 1, 2009, the Medicaid Aged & Disabled Waiver began new Managed Enrollment and Member Enrollment processes. Please see Frequently Asked Questions for more Information.
Services provided in the ADW include:
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Case Management – development of a service and support plan by a case management agency that reflects the wishes and preferences of the ADW member. View Case Management agencies.
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Consumer-Directed Case Management – an ADW member may choose to direct his own case management
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Homemaker – long-term direct care and support services (assistance with personal hygiene, nutritional support, and environmental maintenance) that are necessary in order to enable an individual to remain at home rather than enter a long-term care facility. View Homemaker agencies and Homemaker Selection Forms.
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Transportation – an ADW member may be transported by the homemaker in order to gain access to services and activities in the community
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RN Assessment and Review – a registered nurse will complete assessments of the ADW member at regular intervals to ensure that the member’s plan of care is meeting his/her needs
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Personal Options – ADW members are paid a flexible monthly stipend to recruit, hire, and supervise their own workers
Quality Assurance and Improvement Advisory Council
The Aged and Disabled Quality Assurance and Improvement Advisory Council consists of fifteen members who are former or current Aged and Disabled Waiver members (or their legal representatives), providers, direct care workers, family members, advocates, or other individuals interested in quality home and community-based services.
The members meet quarterly from 10:00 a.m. to 3:00 p.m. An hour is reserved at each Council meeting from 2:00 p.m. to 3:00 p.m. for stakeholder input. Meetings are held at the Bureau of Senior Services Conference Room located at the Charleston Town Center Mall.
The Quality Assurance and Improvement Advisory Council meeting dates:
Friday, July 24, 2009; Friday, October 23, 2009; Friday, January 22, 2010; Friday, April 23, 2010
Please contact Cecilia Brown, Quality Assurance Program Manager at 304-558-3317 or cbrown@wvseniorservices.gov with any questions regarding the Council, Council membership or participating in any Council Work Groups.
Names of Advisory Council Members:
Larry Dolecki
Cindy Gain
Jonnie George
Rose Meredith
Brenda Goodfellow
George Vukelich
Dwayne Scott
Linda Maniak
Tyrone Phillips
Kim Murphy
Libby Boggess
David Wilson
Barbara King
Wayne Worth
Mark Knabenshue
Training Curriculum Materials
The Bureau has a collection of curriculum materials that would be beneficial to ADW providers for training their direct care workers. Although available as a resource, it is not mandatory that ADW providers use these materials. Here you will find a list of the materials and the request form used to check them out. Training materials can be checked out for a two-week period, and there is a limit of five items per checkout. If you have any questions, please contact Tammy Webb at 304-558-3317 or twebb@wvseniorservices.gov.
For more information about the ADW, please contact the Aging & Disability Resource Center in your area, call the Bureau of Senior Services’ Medicaid helpline at 866-767-1575, view Waiver at a Glance and the ADW brochure, contact us online, or see contact information for Medicaid staff.