fbpixel West Virginia Home Care Medicaid Eligibility & Guidelines

Everything You Want To Know

Medicaid / West Virginia

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


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.

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