Initial Waiver Packet

Submit completed applications to:

IRG d/b/a APS Healthcare                                                    
100 Capitol Street                                                                  
Suite 600                                                                      
Charleston, WV 25301 

Or, the completed application may be faxed via secure Efax: 1-866-521-6882

Or, e-mailed to secure e-mail to: wviddwaiver@apshealthcare.com