Can a spouse be paid?
Not right nowNot right now — but other family members can often be paid.
The fine print: no — 'a spouse or legal guardian is excluded' (ex-spouses allowed)
West Virginia
West Virginia has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: West Virginia Medicaid program data · Updated September 2026
There may be a waitlist. Applying early holds your place.
yes but short — waiver capped (~8,750 slots); state reports average waitlist time last fiscal year was ~44 days, application process averages ~56 days
Not right now — but other family members can often be paid.
The fine print: no — 'a spouse or legal guardian is excluded' (ex-spouses allowed)
Not for young children right now — but parents of adult children can often be paid.
The fine print: no for this program — ADW serves ages 18+ only; no minor-child pathway via ADW
Run by: WV Bureau of Senior Services (operates ADW) under the Dept. of Human Services / Bureau for Medical Services
A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Doctor completes a Medical Necessity Evaluation Request (MNER) and submits it to Acentra Health-ADW; financial eligibility application goes through the county DoHS (DHHR) office first.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In West Virginia, they are overseen by the WV Bureau of Senior Services (operates ADW) under the Dept. of Human Services / Bureau for Medical Services. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Not right now — but other family members can often be paid. The fine print: no — 'a spouse or legal guardian is excluded' (ex-spouses allowed)
Not for young children right now — but parents of adult children can often be paid. The fine print: no for this program — ADW serves ages 18+ only; no minor-child pathway via ADW
West Virginia doesn't publish one flat rate — rates vary and the program sets your exact pay. We'll tell you your real number before you enroll.
There may be a waitlist. Applying early holds your place. Details: yes but short — waiver capped (~8,750 slots); state reports average waitlist time last fiscal year was ~44 days, application process averages ~56 days
It depends on the program. In West Virginia: no home-care agency under Personal Options; a financial management services agency is required — Palco (WV Personal Options FMS since 2024; previously PPL/Public Partnerships)
Sources: adwprogram.wv.gov · medicaidplanningassistance.org · palcofirst.com · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across West Virginia. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.