Aged and Disabled Waiver (ADW)-Case Management

Members approved for the Aged and Disabled Waiver (ADW) program also receive case management services as part of the comprehensive approach to care management. Case management services provide members with a trained individual with a relevant degree approved by BMS who helps to identify the needs of the member and helps to plan their care to assist in meeting those needs. The goal of case management services is to provide linkage and referral for ADW members to needed resources in the community.

Members requiring case management services must apply for the Aged and Disabled Waiver program. The application for ADW services is called a Medical Necessity Evaluation Request (MNER). We send the form to your primary care physician for completion. CCIL then sends Acentra the completed form for review, and Acentra schedules an assessment. If approved for care, members will receive a selection form to indicate which homemaker agency they desire to provide the homemaker services and which agency they wish to provide their case management services. Due to Conflict-Free Case Management, members may only have the same homemaker and case management agency if the Bureau of Senior Services (BOSS) grants an exception.

https://dhhr.wv.gov/bms/Programs/WaiverPrograms/ADWProgram/Pages/default.aspx

Applicants must be at least 18 years of age and meet financial and medical eligibility requirements to receive homemaker and case management services. To qualify for services, an individual must have five deficits in areas of daily living, including bathing, dressing, eating, grooming, restroom assistance, moving around home or community, or other areas of need. In addition, individuals must choose Aged and Disabled Waiver services over nursing home placement while offering a safe working environment for all agency staff.

If you are interested in case management services, don't hesitate to contact the Coordinating Council for Independent Living closest to you.