CDCSP

The CDCSP (Federal Title “Disabled Child In-Home Care Program” otherwise known as The Katie Beckett Waiver) allows children who require a nursing level of care, acute care hospital level of care or an intermediate care facility for individuals with intellectual disability level of care to receive a West Virginia Medicaid card so as to receive needed services in their homes rather than in an institutional setting. These are typically children who have been denied SSI because their parents’ income and assets exceed allowable limits.  For CDCSP, only the child’s income and assets are considered, providing all other eligibility criteria are met.

PC&A Responsibilities – PC&A makes initial eligibility determinations for the program and annual redeterminations, thereafter. We assist, to some degree, with the application process and serve as expert witnesses in fair hearings which result from denials.  Additionally, PC&A sends all necessary determination documents to caregivers and will make contact with DHHR to explain the CDCSP program.

The Acute Hospital and Nursing Facility Levels of Care are appropriate for children/adolescents who experience severe medical health conditions that require skilled care.  Selecting the Acute Hospital Level of Care indicates a child/adolescent requires the care provided in a hospital, in the home setting.  Selecting the Nursing Facility Level of Care indicates a child requires the care provided in a skilled nursing facility, in the home setting.  In order to apply for either level of care the CDCSP Acute Hospital/Nursing Facility Application CDCSP 2B must be completed and accompanied by the Cost Estimate Worksheet and SSI Denial (initial application only).  Page 6 of the CDCSP 2B application (Section IV) provides a more detailed description of both levels of care.

The Intermediate Care Facility (ICF) Level of Care is appropriate for children/adolescents with intellectual disabilities and/or severe related conditions who require the care and treatment provided in an ICF/IID Facility, in the home setting. The ICF Level of Care requires the CDCSP 2A application accompanied by the Cost Estimate Worksheet, SSI Denial (initial application only) and psychological evaluation.