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; assets cannot exceed $2,000 and income can be no more than $2,094 per month. 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:
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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 at
www.wvdhhr.org.
- Review the Site Monitoring Tool available on this website.
- Complete the Certification Application and mail to:
Julie Shelton, Director
Medicaid Aged & Disabled Waiver Program
West Virginia Bureau of Senior Services
1900 Kanawha Blvd., East
Charleston, WV 25305-0160
- Once the application is received by the Bureau of Senior Services, a representative will contact you to schedule an onsite review.
- If you meet all certification requirements based on the onsite review, the Bureau of Senior Services will notify Molina Healthcare.
- Molina Healthcare will send you a Medicaid Aged and Disabled Waiver Enrollment Application.
- The Enrollment Application must be returned to Molina Healthcare.
- Once Molina Healthcare 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:
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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.
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Homemaker – 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 Homemaker agencies and Homemaker Selection forms.
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Transportation – an ADW member may be transported by the homemaker in order to gain access to services and activities in the community
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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
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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
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 3:00 p.m. Public Comment period is available at the end of each meeting. Meetings are held at the Bureau of Senior Services Conference Room located at the Charleston Town Center Mall.
The Quality Assurance and Improvement Advisory Council meeting dates:
January 24, 2012; April 24, 2012; July 24, 2012, October 23, 2012; January 22, 2013
Please contact Cecilia Brown, Quality Assurance Program Manager at 304-558-3317 with any questions regarding the Council, Council membership or participating in any Council Work Groups.
Names of Advisory Council Members:
Mark Fordyce, Chair
Wendy Bowen, Vice Chair
Alta Bonar
Brenda Howland
Jeri McDonald
Lisa Markle
Rose Meredith
Terry Muncey
Tyrone Phillips
Hershel Shamblin
Karen Smith
Rebecca Thacker
Letitia Thomas
Wayne Worth
Training Curriculum Materials
The Bureau has a collection of curriculum materials that would be beneficial to ADW providers for training their direct care workers. Although available as a resource, it is not mandatory that ADW providers use these materials. Here you will find a list of the materials and the request form used to check them out. Training materials can be checked out for a two-week period, and there is a limit of five items per checkout. If you have any questions, please contact Tammy Webb at 304-558-3317.
Approved Online Training
Approved CPR Providers
Questions and Answers from Manual Training
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 brochure, contact us online, or see contact information for Medicaid staff.