Medicaid for Home Care in West Virginia

Medicaid Certified Home Care Agency in West Virginia

The home care service providers that are seeking for reimbursement against Medicaid in West Virginia should be a certified HHA (Home Health Association). Certain regulations must be considered while a caregiver service provider is applying for Medicaid reimbursement. The detailed information regarding some exemptions in states is provided by the state’s Department of Human Services.

Governing Body: West Virginia Department of Health

Overview:

Medicaid in West Virginia is also known as the Statewide Medicaid Managed Care (SMMC) program that provides health care coverage for seniors, pregnant women, parents, children, disabled, and former foster care recipients and non-citizens with medical emergencies.

Medicaid Programs:

  • West Virginia Medicaid Personal Care
  • West Virginia Aged and Disabled Waiver (ADW)
  • Statewide Medicaid Managed Care (SMMC) Program
  • Long Term Care (LTC) Program
  • Working Disabled Program
  • Florida Discount Drug Card Program

Income Requirements:

  • For adults, earning not more than $16,632 for a family of one, $22,416 for a family of two, and $28,176 for a family of three
  • For pregnant women and/or children up to 1 year old, income under $19,656 for a family of one, $26,484 for a family of two, and $33,288 for a family of three

Application Process:

To apply online for the available Medicaid programs in West Virginia, visit inROADS.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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