Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in West Virginia?
Last verified October 17, 2026 · All West Virginia resources
In West Virginia, the income limit is $2,982/month and the asset limit is $2,000 single. West Virginia's Aged and Disabled Waiver requires monthly gross countable income at or below 300% of the maximum SSI payment for one person, $2,982 in 2026, counting only the waiver applicant's income. Waiver applicants must meet the SSI-related asset limit for one person, $2,000. For nursing facility care, people with income above 300% of SSI may qualify through a monthly spenddown to the medically needy income level. Transfers made in the 60 months before applying are reviewed.
| Program | West Virginia Medicaid long-term care: Aged and Disabled Waiver (ADW), other HCB waivers and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of the maximum SSI payment) |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the West Virginia Medicaid waivers that pay for home care.
How to apply in West Virginia (West Virginia Department of Human Services, Bureau for Family Assistance (eligibility) and Bureau for Medical Services)
Sources
More for West Virginia
Medicaid eligibility by state: other states
Related guides
Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.