West Virginia
Medicaid Intellectual and Developmental Disabilities Waiver
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
Employer
Employee Training
Employee Packet
- Employee Packet Cover Letter
- IDD Full Employee Packet 2022
- IDD Training Packet
- 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 2022
- WV Form IT-104 2022
- Medicaid Qualified Support Worker Agreement
- DHHR Protective Services Check Form
- Employee Agreement
- Tax Exemption Form
- Employment Training Verification Form
- Difficulty Of Care Instructions
- Difficulty Of Care Form
- Criminal Background Check Instructions and Application (2022)
- Wvcares Criminal Background Check Variance Form
- Confidentiality Agreement
- EFT Application
- EFT Instructions W/ Paycard
- Progress Notes
- Timesheet Instructions
- Timesheet (2022)
- Live-In Exception Form
- Authorization To Withhold City Service Fees
- Transportation Invoice (2022)
Enrollment Packet
- WV IDD Employer Welcome Letter 2023
- WV IDD Enrollment Form 2023
- IDD Binder Program and Employer Guide 2023
- Appointment of Representative 2023
- Notice Of Separation Of Employment
- WV IDD Pay Schedule 2023
- Timesheet Instructions
- Timesheet (2022)
- Progress Notes
- Transportation Invoice (2022)
- IDD Grievance Form 2023
- IDD Participant Incident Report Form 2023
- WV IDD Freedom of Choice Form
- WV IDD Verification City Service Participant 2023
- WV IDD Backup Plan 2023
- WV IDD Wage Notice and Change Request Form 2023
Web Portal Reference Guides
Participant/Program Representative
*Some of the above links may take you to third-party operated websites.