West Virginia
Medicaid Aged & Disabled Waiver
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
Employee Packet
- WV ADW Employee Packet 2023
- WV ADW Employee Welcome Letter
- WV ADW Employee Data Form 2023
- WV ADW Verification City Service Employee 2023
- WV ADW Difficulty of Care 2023
- USCIS Form I-9 Instructions
- USCIS Form I-9
- USCIS Form I-9, Spanish (FOR REFERENCE ONLY)
- Timesheet
- USCIS Form I-9 Instructions, Spanish (FOR REFERENCE ONLY)
- IRS Form W-4 2023
- WV Form IT-104 2022
- Personal Attendant Log
- Timesheet Instructions
- Transportation Invoice (2022)
- WV ADW Employment Agreement 2023
- WV ADW FLSA Live-in Exemption 2023
- WV Medicaid DCP Enrollment Agreement 2023
- WV ADW Direct Deposit Update 2023
- WV Criminal Background Check Form and Instructions 2023
- West Virginia Certificate of Non-Residence
- Direct Service Worker Agreement 2023
- WV ADW Tax Exemption Form 2023
- WV ADW Confidentiality Agreement 2023
Enrollment Packet
- WV ADW Employer Guide 2023
- Employer Welcome Letter 2023
- Enrollment Form 2023
- Appointment of Representative 2023
- Notice of Separation of Employment Form 2023
- Incident Report Form 2023
- Grievance Form 2023
- WV ADW Request to Transfer
- Pay Schedule 2023
- EVV Guide 2023
- Timesheet
- Timesheet Instructions
- Transportation Invoice (2022)
- Wage Notice and Change Request Form 2023
- Verification of City Service Fee Withholding 2023
- Emergency Backup Plan 2023
Employee Training Materials
*Some of the above links may take you to third-party operated websites.