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Family Caregiver Pay Map · West Virginia · Verified October 19, 2026

West Virginia: Who Can Be a Paid Family Caregiver Under Medicaid

West Virginia's Aged and Disabled Waiver pays a family member or friend as a personal attendant through an agency or the self-directed Personal Options model, but prohibits paying a spouse or a court-appointed guardian; the waiver is slot-limited with a managed enrollment list when slots are full.

Spouse
No
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: Adult children, siblings, other relatives, friends and neighbors employed by an ADW agency or hired by the member under Personal Options; not a spouse or legal guardian.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The program behind the answer

Aged and Disabled Waiver — Traditional (agency) and Personal Options (self-directed) models

Administered by West Virginia Department of Human Services, Bureau for Medical Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Capped enrollment
  • Personal attendants are agency employees under Traditional or hired by the member under Personal Options through a fiscal/employer agent; a managed enrollment list applies when funded slots are full

How to apply in West Virginia

We do not yet have partner agencies in West Virginia. Start with the program's administering agency — West Virginia Department of Human Services, Bureau for Medical Services — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in West Virginia

Can a spouse be paid to care for their husband or wife in West Virginia?
No. West Virginia's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in West Virginia?
Adult children, siblings, other relatives, friends and neighbors employed by an ADW agency or hired by the member under Personal Options; not a spouse or legal guardian.
Is there a waitlist for Medicaid home care in West Virginia?
Aged and Disabled Waiver — Traditional (agency) and Personal Options (self-directed) models: capped enrollment (Personal attendants are agency employees under Traditional or hired by the member under Personal Options through a fiscal/employer agent; a managed enrollment list applies when funded slots are full).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.