Medicaid Aged and Disabled Waiver (ADW)
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.
• case management – a case management agency-developed service and support plan that
reflects the wishes and preferences of the ADW member;
• consumer-directed case management – ADW member-directed personal case
• homemaker – long-term direct care and support services (assistance with personal
hygiene, nutritional support, and light housekeeping) necessary for an individual to remain at
home rather than enter a long-term care facility;
• transportation – transit to services and activities in the community;
• RN assessment and review – availability of a registered nurse to complete assessments
of an ADW member at regular intervals to ensure the member’s plan of care meets his/her
• personal options – ADW members’ employment of caregivers/employees and purchase of
needed ADW services to assist with activities of daily living. (See below.)
Medical eligibility is based on a medical professional’s functional assessment. (An applicant and the applicant's physician must complete a Medical Necessity Evaluation Request.) Your county Department of Health and Human Resources offices determine your financial eligibility. Assets cannot exceed $2,000. In 2011, income could be no more than $2,022 per month. The Bureau for Medical Services’ Aged and Disabled Waiver Manual
describes the policies.
The Aged and Disabled Waiver Program is free to those who qualify.
For more information about the Aged and Disabled Waiver Program, contact the Aging and Disability Resource Center in your area, click here
, or call the Bureau of Senior Services’ Medicaid Helpline at 1-866-767-1575.
The Aged and Disabled Waiver Program allows you to manage the care you receive through its Personal Options. You will have a monthly budget to hire people who can care for you at home and to purchase needed services to help you with daily living activities, such as bathing, grooming and dressing.
You may hire a service company, friends or family members as your employees. You cannot hire a spouse, legal guardian or legal representative acting as decision-maker on your behalf. All employees must meet certain requirements, such as first-aid training, CPR training and criminal background checks.
You also may spend a maximum of $1,000 each year for goods and services that promote your health and safety or reduce your need for additional Medicaid services. These goods and services must be approved before you spend the money.
Because you will be an employer, you will have the support of two consultants:
• a resource consultant who can help you prepare a budget and assist you with filing
appropriate state and federal forms; and
• a fiscal/employer agent who will write payroll checks to your employees, pay invoices and
assist with payroll taxes.
You do not
handle any of the money!
To be eligible for Personal Options, you must enroll in the Aged and Disabled Waiver Program.
The Personal Options program is free to those who qualify.
Please call the West Virginia Bureau of Senior Services at 1-866-767-1575 for information about Personal Options.
West Virginia Medicaid Aged and Disabled Waiver Overview of Personal Options
Medicaid Personal Care
The Medicaid Personal Care Program includes hands-on, in-home services provided to those who are medically and financially eligible. Personal care agencies provide the services.
• personal hygiene;
The Bureau for Medical Services’ Personal Care Manual
• dressing, feeding, nutrition;
• light housekeeping; and
• health-related tasks.
describes the policies.
A physician must complete a medical assessment. Assets can be no greater than $2,000, and, in 2011, income could be no greater than $674 per month.
The Medicaid Personal Care Program is free to those who qualify.
For more information about the Personal Care Program, please contact the Aging & Disability Resource Center
in your area, or call the Bureau of Senior Services’ Medicaid helpline at 866-767-1575.