By Brad Story, CEO, West Virginia Behavioral Healthcare Providers Association
West Virginians with intellectual and developmental disabilities (IDD) deserve the opportunity to live, learn, work, and thrive in their communities. The services that make this possible — provided by dedicated professionals across our state — are at risk.
Unless the state implements rate increases for IDD services on October 1, 2025, more providers will be forced to close their doors, and families will lose the critical support they depend on every day.
This is not a new issue. A 2023 rate study recommended a 31% increase to IDD home and community-based service rates. Providers received half of that — a 15% increase — and while it was the first meaningful adjustment in years, providers were vocal at the time that it would not be enough to stabilize the system. We warned that without a further rate increase; many would be unable to continue operations.
Sadly, that prediction has proven true. In the last year alone, multiple providers have closed their doors, leaving fewer options for families and worsening an already critical shortage.
West Virginians may ask, how will the state pay for this rate increase and will it cost us taxpayers more money? The answer is no, it will not increase taxes, and the money already exists from an underspend within the state’s IDD Waiver line item.
A follow-up study completed this summer by Myers & Stauffer confirmed what families and providers have been saying all along: wage and rate levels are inadequate. That study recommended another 6% increase, citing provider closures and lower wages compared to surrounding states.
Without the implementation of an October 1 increase, even more providers are expected to close, leaving individuals with IDD without consistent, trusted support.
Strong community-based supports cost far less than hospitalizations or institutional placements. Investing in IDD services now prevents higher taxpayer costs later.
Residentials services for individuals with IDD are imperative to our state, and it’s important to clarify that these programs allow them to flourish in their independence from their families, work regular jobs, and contribute to their communities with dignity. Residential services are the safety net that keeps individuals out of state hospitals. This is also about smart fiscal policy.
At the center of this crisis are the direct support professionals who deliver hands-on care every day. These highly skilled workers can often earn more at a fast-food restaurant than in their demanding roles supporting individuals with complex needs.
That imbalance is driving turnover and staffing shortages, which directly impacts quality of care. Raising rates means raising wages — and that means stability for families who depend on it. Other states have recognized this reality and invested accordingly. West Virginia must do the same.
What is needed now is follow-through: an October 1 increase must be implemented.
I know our state leaders are committed to building a healthier, stronger West Virginia. This is a moment to demonstrate that commitment.
Families across the state are counting on it.
Brad Story is CEO of the West Virginia Behavioral Healthcare Providers Association
