Case Study: West Virginia Department of Health & Human Resources (WVDHHR)

The Client:

West Virginia Department of Health & Human Resources (WVDHHR) Bureau for Medical Services (BMS)

The Project:

The West Virginia Medicaid Aged & Disabled Waiver Program provides home and community based services to over 4,500 seniors and adults with disabilities who qualify for nursing facility level of care. PPL provides financial management and resource consulting services forWest Virginia Personal Options

The Opportunity:

In 2002,West Virginia received a Cash &Counseling Expansion grant from the RobertWood Johnson Foundation to implement a self-directed service model within the AD Waiver program. West Virginia was also selected to pilot the participant Direction Module (CDM), aweb-based application designed to support self-direction. The Bureau was looking for a single statewide contractor with a physical presence inWest Virginia to provide bundled financialmanagement and resource consulting services using a Government Fiscal/Employer Agent model. In 2006,WVDHHR amended its existing contract with Public Partnerships, LLC(PPL) parent company PCG to engage PPL’s services.

The PPL Approach:

PPL took the following steps to implement the project:

  • Established a local office inMorgantown,West Virginia to implement resource consulting
    (supports brokerage) services;
  • Recruited and trained qualified staff and developed materials and processes to support AD
    Waiver participants;
  • Entered into a teaming agreement with a national company to conduct criminal back
    ground checks on participant-employed providers;
  • Customized business systems and processes to perform payroll services, accounts payable
    services, and customer services; and
  • Customized information technology platforms to meet program requirements, including
    verification of provider qualifications.

The Result:

Since the program’s launch inMay, 2007 PPL has:

  • Enrolled over 350 participants
  • Provided payroll for over 400 participant-employed providers;
  • Provided leadership in development of the Participant Direction Module (CDM);
  • Provided data on individual budget utilization, purchasing, and access to services;
  • Conducted a participant satisfaction survey revealing over 97% satisfaction with Personal
    Options and PPL’s services;

   Co-presented with WVBMS at national conferences highlighting the program’s success.
“PPL’s expertise as a fiscal intermediary and PPL’s willingness to develop a state model for support brokerage services have contributed to the success of the Personal Options program…The Bureau appreciates PPL’s responsiveness in tailoring business systems and processes to support participant direction.”


Marcus Canaday, Program Manager
Home and Community-Based Services

 

 

 

Why Choose Us?

"We make it easier for consumers to create their own opportunities."

We build each program to meet the unique needs of each state and the program participants while satisfying the most current Centers for Medicare and Medicaid Services (CMS) and IRS requirements.

 

What Clients are Saying...

  • “Kianga displayed Superior Customer Service on her call today, let me vent, had great patience, and came up with a solution that I was happy with. Thanks.”– program participant in Virginia

Contact Us

Feel free to contact us today

Address: 148 State Street 10th Floor Boston, MA 02109
Telephone: 1-855-2GETPPL (855-243-8775)
FAX: 617-717-0085
E-mail: ppl@pcgus.com