ICF/IID

ICF/IID are group homes located in communities throughout West Virginia.  Each group home houses between four and nine individuals who have an appropriate diagnosis of an Intellectual Disability or a severe Related Condition.  The group homes are staffed to meet the needs of all of the ICF/IID members who reside in the home.  Facilities for the ICF/IID program are run by various providers throughout the state.  Please call for more information about the providers in your area.

PC&A Responsibilities – PC&A has been responsible for making initial eligibility determinations and annual redeterminations for eligibility since West Virginia began the process of deinstitutionalization of individuals with Intellectual Disabilities and/or Related Conditions.  Additionally, PC&A completes on-site visits for all the facilities, review of ICAP Scores for accuracy, and coordination with the contracted financial agent as part of our contract with the West Virginia Bureau for Medical Services (BMS).  PC&A uses quarterly Quality Assurance reports to determine that the ICF/IID program is accurately completing all tasks appropriately and within mandated timelines.  Clinical consultants for the long-term care program from PC&A also represent the BMS at fair hearings for any adverse decision that is appealed. PC&A is responsible for providing notifications to applicants and ICF/IID providers regarding eligibility and maintaining an accurate database of participants and eligibility status.