Medicaid Provider Enrollment Overview

West Virginia offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by West Virginia Department of Health - Bureau for Medical Services. Currently, West Virginia is actively enrolling new home care providers.

The average enrollment timeline is 90-120 days from initial application to receiving your first client. With medium demand for home care services, West Virginia represents a solid opportunity for agencies looking to serve Medicaid clients.

West Virginia Medicaid Waiver Programs

Home care agencies in West Virginia can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Aged and Disabled Waiver

1915(c) Waiver

Services for elderly and adults with disabilities

2

Intellectual/Developmental Disabilities (I/DD) Waiver

1915(c) Waiver

Services for individuals with I/DD

3

Traumatic Brain Injury (TBI) Waiver

1915(c) Waiver

Services for individuals with TBI

West Virginia Provider Requirements

To become a Medicaid provider in West Virginia, your home care agency must meet the following requirements:

  • West Virginia business registration
  • Home Health Agency or Personal Care Provider license from OHFLAC
  • Criminal background checks
  • Professional liability insurance
  • BMS provider standards
  • Quality assurance program

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in West Virginia:

1

Obtain West Virginia provider licensure

2

Apply for NPI

3

Complete WV BMS Provider Enrollment

4

Register in MMIS

5

Contract with MCOs (The Health Plan, Aetna, UniCare)

6

Complete waiver certification