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.
Aged and Disabled Waiver
1915(c) WaiverServices for elderly and adults with disabilities
Intellectual/Developmental Disabilities (I/DD) Waiver
1915(c) WaiverServices for individuals with I/DD
Traumatic Brain Injury (TBI) Waiver
1915(c) WaiverServices 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:
Obtain West Virginia provider licensure
Apply for NPI
Complete WV BMS Provider Enrollment
Register in MMIS
Contract with MCOs (The Health Plan, Aetna, UniCare)
Complete waiver certification