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What is the West Virginia Medicaid Personal Care Services Program?
The West Virginia Medicaid Personal Care Services Program is an in-home care program for West Virginia Medicaid members who may need help with their Activities of Daily Living (ADL). Trained direct-care workers come to your home, place of employment, or community to asssit with ADLs and other areas of personal care to help you live independently.
Individuals eligible to receive this service must have a West Virginia Medicaid card. When you first apply for the Personal Care Services Program, a registered nurse will contact you to complete an evaluation in your home for medical eligibility. To be eligible, you must have needs in at least three areas of ADLs, such as eating, bathing, transferring, walking, and dressing. Medical eligibility is based on a medical professional's assessment of how well you can perform ADLs.
If you are eligible, a trained direct-care worker can assist you with services in your home, community or place of employment such as:
- Eating
- Showering or bathing
- Grooming (brushing hair, clipping nails, shaving, etc.)
- Mobility
- Toileting
- Other personal care needs
Please note that this is not a complete list of services a direct care worker can provide. If you have questions regarding a specific service, please contact the West Virginia Department of Human Services (DoHS), Bureau for Medical Services at 304-558-1700.
Personal Care Services do not include:
- Skilled nursing care
- Administering medication
- Wound care
- Injections
- Housecleaning as the only service
To apply for the Personal Care Services Program, you must fill out and sign a Personal Care-Medical Necessity Evaluation Request form. You then provide this form to your doctor (doctor of medicine (MD) or doctor of Osteopathy (DO)), physician’s assistant, or registered nurse to complete, sign, and submit the form to:
Acentra Health-PC
1007 Bullitt St., 2nd Floor
Charleston, WV 25301
Toll-Free: 1-866-385-8920
Fax: 1-844-794-6729
An Acentra Health-registered nurse will contact you to schedule a medical eligibility assessment in your home.
For more information on the Personal Care Services Program, please contact:
West Virginia Medicaid Personal Care Services
Teresa McDonough, Program Manager
West Virginia Department of Health and Human Resources
Bureau for Medical Services
350 Capitol Street, Room 251
Charleston, WV 25301
Phone: (304) 352-4240
Email: Teresa.M.McDonough@wv.gov
Personal Care Contracted Operations Agency
Bureau of Senior Services
Susan Silverman, Director of Medicaid Operations
1900 Kanawha Blvd., East
Charleston, WV 25305
Phone: (304) 558-3317
Fax: (304) 558-6647
Email: Susan.R.Silverman@wv.gov
Utilization Management Contractor
Acentra Health
1007 Bullitt Street, Second Floor
Charleston, WV 25301
Phone: (844) 723-7811 or (304) 343-9663
Fax: (866) 212-5053
Email: WVPersonalCare@kepro.com
Q: What are the steps to apply for and enroll in the West Virginia Medicaid Personal Care Services Program?
A: The application through enrollment process has five stages. For a full explanation of each stage, visit West Virginia Personal Care Application Through Enrollment Process.
Q: How do I apply for the Personal Care Services Program?
A: Download a one-sheet guide that explains the application steps and complete the Personal Care Application form.
Non-Emergency Medical Transportation Information
Individuals who have a West Virginia Medical Card may be eligible for transportation to and from your routine medical appointments. For more information, call 1-844-549-8353, Monday - Friday between 7:00 am to 6:00 pm
To learn more please click here.
