West Virginia
Medicaid Aged & Disabled Waiver
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
Enrollment Packet
- Employer Guide
- Web Portal Manual
- Time4care Instructions
- Enrollment Packet Cover Letter
- Enrollment Form
- Appointment Of Representative
- Notice Of Separation Of Employment
- Incident Report
- Grievance Form
- Request To Transfer
- 2021 Payroll Schedule
- Timesheet
- Timesheet Instructions
- Transportation Invoice
- Wage Notice And Change Request Form
- Verification Of City Service Fee Withholding
Employee Packet
- WV ADW Full Employee Packet
- Web Portal Manual
- Time4care Instructions
- Employee Letter
- Employee Data Form
- USCIS Form I-9
- USCIS Form I-9 Instructions
- USCIS Form I-9, Spanish (FOR REFERENCE ONLY)
- USCIS Form I-9 Instructions, Spanish (FOR REFERENCE ONLY)
- Checklist To Complete I-9 Form
- Instructions To Complete I-9 Form
- IRS Form W-4 2021
- West Virginia WV IT-104 Withholding Form
- Medicaid Direct Service Worker Agreement
- DHHR Protective Services Check Form
- Employment Agreement
- Tax Exemption Form
- Confidentiality Agreement
- Difficulty Of Care Instructions
- Difficulty Of Care Form
- WVCares Criminal Background Check Instructions And Forms
- Wvcares Criminal Background Check Variance Form
- Personal Attendant Log
- Timesheet Instructions
- Timesheet
- Transportation Invoice
- Electronic Funds Transfer (EFT) Application
- Electronic Funds Transfer (EFT) Instructions W/ Paycard
- Live-In Exception Form
- Authorization To Withhold City Service Fees
Employee Training Materials
*Some of the above links may take you to third-party operated websites.