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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 168 Chapter 24 Long Term Care

CHILDREN WITH SERIOUS EMOTIONAL DISORDER (CSED) WAIVER The Children with Serious Emotional Disorder (CSED) Waiver is a Medicaid Home and Community-Based (HCBS) waiver program authorized under §1915(c) of the Social Security Act. The CSED provides services that are additions to Medicaid State Plan coverage for members ages three (3) to 21 who are enrolled in the CSED program. The CSED permits West Virginia to provide an array of HCBS that enables children who would otherwise require institutionalization to remain in their homes and communities. This waiver prioritizes children/youth with serious emotional disorder (SED) who are: 1. In Psychiatric Residential Treatment Facilities (PRTFs) or other residential treatment providers either out-of-state or in-state; and 2. Other Medicaid-eligible children with SED who are at risk of institutionalization. Specific program requirements and details may be found in Chapter 502 of the Bureau for Medical Services Policy Manual.

24.59 GENERAL APPLICATION PROCEDURES 24.59.1 Application Forms Current clients of Supplemental Security Income (SSI), Deemed SSI, Parent/Caretaker Relatives, Children under Age 19, and Pregnant Women must complete only the DFA-LTC-5 to evaluate for annuities, trusts, and/or other potential resources or transfers when determined medically-eligible for CSED. All other new applicants must apply for CSED waiver Medicaid using the DFA-MA-1, DFA-2, or DFA-SLA-1 and DFA-SLA-S1. 24.59.2 Complete Application The application is complete when the client or his representative signs the appropriate application form which contains, at a minimum, the client's name, address, and signature. An interview is not required.