West Virginia Medicaid Long-Term Care

Care setting and eligibility are separate questions

West Virginia’s 2026 Medicaid guide lists nursing-home care, ICF/IID services, home health, and several waiver services among the program’s covered options. The guide cautions that people must meet financial and asset limits as well as medical criteria; it also explains that a person who is ineligible at application because income is over the maximum may become eligible under spend-down when the process applies (West Virginia Medicaid 2026 guide).

The current ADW webpage is more specific about the home setting. It describes ADW as an alternative to nursing-home care for a West Virginia resident age 18 or older who is approved for nursing-home level of care, elects waiver services, and has identified care needs. It also says an accepted applicant cannot participate until an opening is available, which means financial eligibility does not itself reserve a service slot (West Virginia ADW eligibility and enrollment information).

Start with the right records and current program contact

For nursing-facility placement or a facility transfer, BMS requires a medical-necessity assessment under its policy. Its utilization-management contractor says the PAS-2000 is the Pre-Admission Screening instrument used for the review and that it conducts Nursing Facility/PASRR reviews for BMS (West Virginia Nursing Facility Program).

A family should gather current income proof, resource statements, transfer history, clinical records, and the proposed care setting before applying. The state materials describe a process, not a promise that every setting, waiver, or facility will be immediately available; an applicant should use the live county-office and program instructions rather than an old general brochure (West Virginia Bureau for Family Assistance long-term-care overview; West Virginia Medicaid 2026 guide).