State-wise Videos

This video explains who manages the Medicaid program in West Virginia. The West Virginia Department of Health and Human Resources (DHHR) — via its Bureau for Medical Services — oversees eligibility, enrollment and provider reimbursement.

Who we empower every day

By Role

• Agency Owners – Understand Medicaid structure in West Virginia to align your agency’s services, billing and operations.

By Persona

• Supervisors – Ensure clients meet eligibility, services are authorised and documented correctly under Medicaid rules.
• Care Managers – Coordinate services that fall under Medicaid waivers or personal-care coverage, align with EVV and documentation.
• Billers – Understand the Medicaid billing workflow, claim submission deadlines, service codes and linkage with EVV data.
• Schedulers – Assign caregivers only to clients whose services are authorised under Medicaid, integrate with scheduling/tracking tools.
• Caregivers – Know which clients have Medicaid coverage, understand visit documentation and EVV requirements.
• On-Call/Backup Coordinators – Ensure coverage continuity for Medicaid-funded clients, maintain EVV capture and documentation.

Medicaid in West Virginia is a major payer for home care services; ensuring agency processes (scheduling, EVV capture, documentation, billing) align with Medicaid rules supports reimbursement, reduces risk of audit/recoupment. A platform that integrates these workflows provides strong support.