The Children with Serious Emotional Disorder Waiver (CSEDW)

The Bureau for Medical Services (BMS), within the WV Department of Health and Human Resources (DHHR), is the single state agency responsible for statewide administration of the Title XIX Medicaid Program. BMS operates the CSEDW in conjunction with the specialized managed care program for children and youth (1915(b) waiver). As appropriate, Medicaid members receiving services under the CSEDW may receive any of the Medicaid State Plan services and waiver services identified in Appendix C of this §1915(c) HCBS Waiver application. Members enrolled in the CSEDW may not be enrolled simultaneously in another WV §1915(c) waiver. Members are permitted to receive services on the CSEDW while on a waitlist for another 1915(c)waiver.

WV Medicaid authority under the direction of the WV DHHR will contract with an Administrative Service Organization (ASO) and psychological practice as the Medical Eligibility Contracted Agent (MECA) to address program eligibility and enrollment. Medicaid managed care entities will be responsible for utilization management. The WV Medicaid Management Information System (WVMMIS) contractor will be responsible for enrollment of providers who then must contract with the Managed Care Organization (MCO) to be providers for the CSEDW.