Basic Considerations
To be eligible under this COA, an A/R must meet the following conditions:
The A/R is between 21 through 64 years of age. Applicants approved prior to age 65 may continue to be eligible after attaining age 65 if they continue to meet all other eligibility criteria.
The A/R is receiving case management services through a DMA approved ICWP case management provider.
The A/R is residing in a residential home situation, such as his/her own home.
The A/R meets the length of stay (LOS) and the level of care (LOC) basic eligibility criteria.
The A/R meets all other basic and financial eligibility criteria.
ICWP Medicaid recipients receive certain waivered services not normally covered by Medicaid, including the following:
case management
companion services
counseling
emergency response system (ERS)
environmental modification
homemaker services
occupational therapy
personal care services
skilled nursing
specialized medical equipment and supplies
transportation
Refer any individuals interested in receiving services under ICWP to:
Alliant Health Solutions P.O. Box 105406 Atlanta, Georgia 30348
(678) 527-3632, (678) 527-3619 or 1-800-982-0411 Local Fax Line: 678-527-3001 Toll Free Fax Line: 1-800-716-5358
The case management provider (case manager) submits the LOC information to Alliant Health Solutions (AHS) and initiates the ICWP services approval process.
The case manager obtains the LOC instrument and sends to DFCS. Receipt of the LOC instrument verifies the LOC for ICWP. A DMA-6 is still a valid LOC instrument for some of the older cases.
The case manager submits an Individual Plan of Care and a Recipient Application form to the DMA Waivered Services Unit for approval of ICWP services. The Waivered Services Unit notifies the case manager of approval or denial of the A/R for ICWP services.
If DMA approves the A/R, the case manager submits an Independent Care Waiver Communicator to DFCS, specifying the date case management began, which is used for LOS, and the date of the first waivered service, which serves as the slot date for eligibility purposes in the same manner as it is used under EDWP.
The beginning date of case management and the slot date should be the same in most cases since case management is a waivered service under ICWP.
If ICWP services are approved by DMA, the case manager and the A/R decide on service providers.
The A/R may apply for ICWP Medicaid while residing at home, in a hospital or in a nursing home.