WV Bureau of Senior Services

Medicaid Aged and Disabled Waiver

The Medicaid Aged and Disabled Waiver (ADW) Program provides in-home and community services to individuals 18 years of age and older who are medically and financially eligible. Medical eligibility is based on a functional assessment by a medical professional. (A Medical Necessity Evaluation Request must be completed by applicant and the applicant's physician.) Financial eligibility is determined at the county Department of Health and Human Resources offices. Information on eligibility can be found on the Bureau for Medical Services website. Policies are described in the Bureau for Medical Services’ Aged and Disabled Waiver Manual.


To apply to become a provider for the Medicaid Aged and Disabled Waiver program:

  1. Review the Medicaid Program Manual chapters 100, 200, 300, 400, 501, 600, 700, and 800 located on the West Virginia Bureau for Medical Services website.
  2. Review the Site Monitoring Tool (updated 4/1/21) available on this website.
  3. Complete the Certification Application (updated 4/6/22) and mail to:
         Director of Medicaid Operations
         Medicaid Aged & Disabled Waiver Program
         West Virginia Bureau of Senior Services
         1900 Kanawha Blvd., East
         Charleston, WV 25305-0160
  4. Once the application is received by the Bureau of Senior Services, a representative will contact you to schedule an onsite review.
  5. If you meet all certification requirements based on the onsite review, the Bureau of Senior Services will notify WV Medicaid Payor.
  6. WV Medicaid Payor will send you a Medicaid Aged and Disabled Waiver Enrollment Application.
  7. The Enrollment Application must be returned to WV Medicaid Payor.
  8. Once WV Medicaid Payor determines the Enrollment Application is complete, they will notify you and provide you with a Medicaid provider number.

If you have any questions regarding this process, please contact the West Virginia Bureau of Senior Services at 304-558-3317.


Services provided in the ADW include:

  • Case Management – Development of a service and support plan by a case management agency that reflects the wishes and preferences of the ADW member. View Case Management agencies and Case Management Selection forms.    
  • Personal Attendant – Long-term direct care and support services (assistance with personal hygiene, nutritional support, and environmental maintenance) that are necessary in order to enable an individual to remain at home rather than enter a long-term care facility. View Personal Attendant agencies and Personal Attendant Selection forms.    
  • Agency Transfer – If you wish to transfer to another Case Management or Personal Attendant agency, complete this form and submit to the Bureau of Senior Services Transfer Coordinator. Download Request to Transfer form here.  
  • Transportation – an ADW member may be transported by the homemaker in order to gain access to services and activities in the community 
  • RN Assessment and Review – a registered nurse will complete assessments of the ADW member at regular intervals to ensure that the member’s plan of care is meeting his/her needs    
  • Personal Options – ADW members have a monthly budget that they use to hire caregivers/employees and purchase needed ADW services to assist with activities of daily living. View Overview of Personal Options.

Training Presentations for ADW Manual Effective April 1, 2021 


Quarterly Provider Meetings
  (updated 8/22/19)  


Quality Assurance and Improvement Advisory Council

The Aged and Disabled Quality Assurance and Improvement Advisory Council consists of fifteen members who are former or current Aged and Disabled Waiver members (or their legal representatives), providers, direct care workers, family members, advocates, or other individuals interested in quality home and community-based services.

 

The members meet quarterly from 10:00 a.m. to 12:00 p.m. Public Comment period is available at the end of each meeting. Meetings are held virtually at this time.


The Quality Assurance and Improvement Advisory Council meeting dates: 
      October 25, 2022, January 24, 2023, April 25, 2023, July 25, 2023, and October 24, 2023

 

Please contact Mark Fordyce, Quality Assurance Program Manager at 304-558-3317 with any questions regarding the Council, Council membership or participating in any Council Work Groups. 

 

Advisory Council Officers:

     
     Radene Hinkle, Council Chair



ADW Quality Improvement Advisory Council Committee Minutes  

     January 16, 2021  
     April 27, 2021  
     October 26, 2021
     April 26, 2022  


Miscellaneous Training Resources

 

Online Training Resources   (updated 2/7/22)  

 

Approved CPR Providers   (updated 7/21/20)  


Questions and Answers from Manual Training – October 2015   (added 5/24/16)  


2018 ADW Policy Manual Forums  

 

Information for When Two PA Agencies Provide Services to the Same Member   (updated 3/8/16)  

 

State of West Virginia Public Learning Center  
Instructions for the State Online Public Learning Center  

 

MorphoTrust Location Roster   (added 8/15/16)   



For more information about the ADW, please contact the Aging & Disability Resource Center in your area, call the Bureau of Senior Services’ Medicaid helpline at 866-767-1575, view Waiver at a Glance and the ADW brochurecontact us online, or see contact information for Medicaid staff.

 

 

Updated 10/6/22