West Virginia Personal Options allows qualifying individuals to self-direct their care through the ADW, IDD, and TBI waivers. The Personal Options program gives participants more choice and control over their care and services they receive.
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2025 Payment Schedule ADW
Caregiver Forms
Worker Intake Form
Worker Enrollment Packet
Criminal Background Check Scheduling Packet
Change of Information
IRS W-4 Federal Withholding
WV State Withholding
Notice of Privacy Practices
Worker Rate of Pay Information
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
Income Verification Request
2025 Payment Schedule ADW
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
Stop Payment Request
Resources
PO Employer Training Guide
PO Worker Training Guide
Employer Training Verification Attestation Form
Worker Additional Training Hours Resource
Initial Test
Initial Test Answer Key
Initial Training Verification Form
Annual Test
Annual Training Verification Form
Time Entry User Guide
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers
Palco Connect EVV Resources
Palco Connect EVV Training Video
Palco Connect EVV Training Slides
Palco Connect EVV Training Guide
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2025 Payment Schedule – IDD/TBI
Caregiver Forms
Worker Intake Form
Worker Enrollment Packet
Criminal Background Check Scheduling Packet
Change of Information
IRS W-4 Federal Withholding
WV State Withholding
Notice of Privacy Practices
Worker Rate of Pay Information
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
Income Verification Request
2025 Payment Schedule – IDD/TBI
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
Stop Payment Request
Resources
PO Employer Training Guide
PO Worker Training Guide
Employer Training Verification Attestation Form
Worker Additional Training Hours Resource
Initial Test
Initial Test Answer Key
Initial Training Verification Form
Annual Training Verification Form
Time Entry User Guide
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers
Palco Connect EVV Resources
Palco Connect EVV Training Video
Palco Connect EVV Training Slides
Palco Connect EVV Training Guide
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2025 Payment Schedule – IDD/TBI
Caregiver Forms
Worker Intake Form
Worker Enrollment Packet
Criminal Background Check Scheduling Packet
Change of Information
IRS W-4 Federal Withholding
WV State Withholding
Notice of Privacy Practices
Worker Rate of Pay Information
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
Income Verification Request
2025 Payment Schedule – IDD/TBI
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
Stop Payment Request
Resources
PO Employer Training Guide
PO Worker Training Guide
Employer Training Verification Attestation Form
Worker Additional Training Hours Resource
Initial Test
Initial Training Verification Form
Annual Test
Annual Training Verification Form
Time Entry User Guide
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers
Palco Connect EVV Resources
Palco Connect EVV Training Video
Palco Connect EVV Training Slides
Palco Connect EVV Training Guide