West Virginia’s Bureau for Medical Services (BMS) will increase home- and community-based services (HCBS) waiver provider organization rates by 15% on October 1, 2024. The rate will be set as recommended in a service cost and rate review completed in December 2023.  

In addition, the state will also increase the waiver rate for family support and personal care rates at the same time. The state engaged Myers and Stauffer LC to review service rates and make recommendations for rate revisions provided on the I/DD Waiver, and the review was expanded to include the Aged and Disabled (AD . . .

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Disability Support & Long Term Care Services

Disability and long-term care refers to institutional and community-based care that support individuals with activities of daily living and services related to age or disability. Over the past decade, there has been an increase in the changes and challenges affecting the disability support and long-term care market markets—the move to managed care and subsequently value-based care, the shift to home- and community-based care, the increase in the aging population, and new workforce challenges.


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Approximately 44.68 million U.S. civilians of all ages living in the community reported one or more disabilities in 2023, representing 13.5% of the noninstitutionalized population. Among adults aged 18 and older, the rate rises to approximately 16%. The analysis is based on data from the U.S. Census Bureau’s 2023 American Community Survey (ACS), which reaches approximately 4.7 million people annually with a response rate of about 85%. The most commonly reported disability type was ambulatory… Read