Waiver Approvals

All Waivers which have been approved by the Centers for Medicare and Medicaid Services are listed below by name and year. 

Please click on the Waiver you are interested in viewing.

Substance Use Disorder Waiver

• Medicaid Section 1115​ Substance Use Disorder Waiver Renewal Demonstration Public Comment and Answers (Effective May 4, 2022)
• West Virginia Creating a Continuum of Care for Medicaid Enrollees and Substance Use Disorders 1115 Waiver Disorders 1115 Demonstration Waiver (Approved October 6, 2017, effective date January 1, 2018) 

Managed Care

• Mountain Health Trust Waiver Renewal Letter - Broad-Based and Uniformity Provisions (Approved May 14, 2019, Effective January 1, 2020) Posted Date: June 10, 2025
• WV Mountain Health Promise 1915b Waiver Renewal submission (July 1, 2021)​​
• SFY 202​2 Mountain Health Trus​t Managed Care Contract and Rate Action Approval ​​
• Mountain Health Trust SFY 21 Waiver Renewal
• Mountain Health Trust Waiver Renewal Approval Letter (Approved September 19, 2019, effective October 1, 2019 until June 30, 2021)
• Mountain Health Trust Waiver Renewal
• 1915(b) 2015 Waiver Amendment for The Health Plan and Unicare to expand into Cabell and Wayne counties (Approved December 10, 2015; effective date December 10, 2015)
• 1915(b) Waiver amendment to modify the auto-assignment algorithm and phases out the PAAS program by July 1, 2016 (Approved November 19, 2015, effective date November 30, 2015)
• Temporary Waiver to use a mechanism other than the Federal Data Services Hub for Eligibility Verification (Approved November 20, 2015)
• 1915(b) 2015 Mountain Health Trust Waiver Amendment (Approved 7/26/2015)
• ​1915(b) Waiver Amendment for West Virginia Family Health to expand into Cabell and Wayne counties (Approved 9/29/15; effective date 10/1/15) 

Home and Community Based Services 

• West Virginia Sta​tewide Transition Plan Approval Letter
• Appendix K: Emergency Preparedness and Response Waiver Approval Letter (Updated August 3, 2020, Effective July 1, 2020 until March 31, 2021)
• Appendix K: Emergency Preparedness and Response Waiver Approval Letter (Approved March 19, 2020, Effective July 1, 2020 until March 31, 2021)
• West Virginia State-Wide Transition Plan
• Home and Community Based Waivers Temporary E​xtension

Aged and Disabled Waiver 

• Aged and Disabled Waiver Amendment Public Comments and Answers (Effective July 1, 2025)
• Aged and Disabled Waiver A​pproved Application (Effective February 1, 2024)
• Aged and Disabled Waiver Amendment Public Comments and Answers (Effective January 1, 2024)​
• Aged and Disabled Waiver Amendment Public Comments and Answers ​(Effective December 1, 2023)​  
• Aged and Disabled Waiver ​Amend​ment​ Public​ Comments and Answers (Effective January 1, 2023)
• Aged and Disabled Waiver Ap​proval Letter (Effective July 1, 2022)
• Aged and Disabled Waiver Approved Application (Effective April 1, 2021)
• Aged and Disabled Waiver Amendment Approval Letter (Effective April 1, 2021)
• Aged and Disabled Waiver Amendment Approval Letter (Effective October 1, 2020)
• Aged and Disabled Waiver 2020 Application Approved  (Effective July 1, 2020)
• Aged and Disabled Waiver Approval Letter (Approved May 18, 2020, effective July 1, 2020)
• Aged And Disabled Amendment Approval Letter (SF 19, Approved August 22, 2019)
• Aged and Disabled Waiver Application
• Aged and Disabled Waiver (Approved September 24, 2018)  
• Aged and Disabled Waiver (Approved February 15, 2018) 

Children with Serious Emotional Disorders Waiver

• Children with Serious Emotional Disorde​rs Waiver Amendment Application​ (Effective February 1, 2023)
• Children with Serious Emotional Disorders ​W​aiver Am​end​ment Public Comments and Answers
• Children with Serious Emotional Dis​ord​ers Waiver, WV, 1646.R00.10 Amendment Approval Letter​ (Effective July 1, 2022)
• Children with Serious Emotional Disorders Waiver Amendment Public Comment and Answers (Effective July 1, 2022)
• Children with Serious Emotional Disorders Waiver Amendment Application (Effective July 1, 2021)
• Children with Serious Emotional Disorders Waiver Amendment Application Approval Letter (Approved June 8, 2021, Effective July 1, 2021)
• Children with Serious Emotional Disorders Waiver Amendment Public Comment and Answers (Effective July 1, 2021)
• Children with Serious Emotional Disorder Waiver Approval Letter (Approved December 19, 2019)
• Children with Serious Emotional Disorder Waiver Approved Initial Application (Approved December 19, 2019) 

Intellectual/Developmental Disabilities Waiver

• Intellectual Developmental Disabilities Waiver Amendment Public Comments and Answers (Effective July 1, 2025)
• Intellectual Developme​n​tal Disabilities Waiver A​me​ndment Public Comments and Answers​ ​ (Effective January 1, 2024​)
• Intellectual Developmental/Dis​abilities Waiver Approved Application (Effective November 1, 2021)
• Intellectual Developmental/Disabilities Waiver Approved Application (Effective April 1, 2021)
• Intellectual Developmental/Disabilities Waiver Amendment Approval Letter (Effective April 1, 2021)
• Intellectual/Developmental Disabilities Waiver Application Approval Letter (Approved May 18, 2020, effective July 1, 2020)
• IDDW 2020 Application Approved (Effective July 1, 2020)
• *West Virginia Home and Community-Based Intellectual/Developmental Disabilities Waiver Approval Letter (Approved May 13, 2020, effective date July 1, 2019)
• West Virginia Home and Community-Based Aged and Disabled Waiver Approval Letter (Approved May 13, 2020, effective date July 1, 2019)
• Intellectual/Developmental Disabilities Waiver CMS Annual Report Approval Letter  (Approved February 7, 2018 for a start date of January 1, 2018)
• Intellectual/Developmental Disabilities Waiver (Approved February 7, 2018)

​Traumatic Brain Injury Waiver​​

• Traumatic Brain Injury Waiver Ame​ndment Public Comments and Answers (Effecti​ve July 1, 2025)
• Traumatic Brain In​jury Waiver Approved Application (Effective April 30, 2024)
• Traumatic Brain Injury Waiver Amendme​nt Public Comments and Answers (Effective January 1, 2024)​
• Traumatic Brain Injury Waiver Amendment Public Comments and Answers (Effective January 23, 2022)
• Traumatic Brain Injury Waive​r Approval Letter (Effective July 1, 2022)
• Traumatic Brain Injury Waiver Approved Application (Effective April 1, 2021)
• Traumatic Brain Injury Waiver Approval Letter (Effective April 1, 2021)
• Traumatic Brain Injury Waiver Approved Application (Effective July 1, 2020)
• Traumatic Brain Injury 2020 Application Approval Letter (Approved  May 18, 2020, effective July 1, 2020)
• Traumatic Brain Injury Waiver Application
• Traumatic Brain Injury Waiver (Approved September 24, 2018
• Traumatic Brain Injury Waiver (Approved February 13, 2018)

Archived Waiver Approvals