West Virginia Case Management Agency Policy Manual
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The West Virginia Case Management Agency Policy Manual provides a comprehensive operational framework for agencies delivering case management services to individuals with disabilities, chronic conditions, behavioral health needs, and aging-related challenges across the State of West Virginia. This manual aligns with the regulations established by the West Virginia Department of Health and Human Resources (DHHR), including the Bureau for Medical Services (BMS), the Bureau for Behavioral Health (BBH), and the Bureau of Senior Services (BoSS). It also complies with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Aged and Disabled Waiver (ADW), the Traumatic Brain Injury Waiver (TBIW), and the Intellectual/Developmental Disabilities Waiver (IDDW). The manual includes policies and procedures governing agency certification and enrollment, participant eligibility and intake, person-centered assessment and planning, coordination of health, behavioral, and community-based services, monitoring of service delivery, interdisciplinary collaboration, conflict-free case management principles, staff qualifications and training, participant rights and protections, documentation and billing procedures, incident reporting, emergency protocols, and quality assurance systems. It emphasizes holistic, individualized care coordination that empowers participants, ensures access to essential services, and promotes independence, health, and community integration. This manual serves as a foundational resource for case management agencies in West Virginia, ensuring the delivery of high-quality, compliant, and person-directed services that support long-term outcomes and dignity for those served.