I/DD Waiver Packets
Application Form (I/DD1)

Completed applications must be submitted to the ASO at:

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

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

Or emailed to secure email to:
wviddwaiver@apshealthcare.com

In order for an applicant to be found eligible for the I/DD Waiver Program, they
must
:
  • Meet medical eligibility.
  • Meet financial eligibility.
  • Be a resident of West Virginia.
  • Have chosen Home and Community-Based Services over services in an
    institutional setting (ICF/MR facility).