WV Traumatic Brain Injury (TBI) Waiver Program
The TBI Waiver Program is a long term care alterative which provides services that enable individuals to live at home rather than receiving nursing facility care. The program provides home and community-based services to West Virginia residents who are medically and financially eligible to participate in the program.
APS Healthcare Inc., contracted by BMS, is responsible for the day to day operations and oversight of the TBI Waiver program. This includes conducting the medical evaluations and determining medical eligibility for applicants and members of the program and performing provider agency certification.
The Medicaid program manual, Chapter 512-Covered Services, Limitations, and Exclusions for Traumatic Brain Injury (TBI) Waiver Services, can be found at http://www.dhhr.wv.gov/bms/Documents/Ch512TBI061313.pdf
Information about the Rancho Los Amigos Levels of Cognitive Functioning Scale can be found at http://tbims.org/combi/lcfs/index.htm
Provider Reference Guide:
The TBI Waiver Provider Reference Guide changes as providers are added; if you have questions about the status of a particular provider, please check with the Medicaid TBI Waiver Program using the contact information at the bottom of this page.
Provider Initial and Continuing Certification Forms:
The revised certification forms will be available following the October 2013 Provider Training: Continuing Certification of Enrolled TBI Waiver Provider Agencies
Below are the links to each of the TBI waiver required forms. All provider agencies must use the BMS-approved forms provided on this website. No substitutes will be accepted.
Please direct inquiries to email@example.com or call the APS Healthcare TBI Waiver Program at 1-866-385-8920.