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. Effective April 1st, Palco will be the sole FMS in West Virginia.
News & Updates
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2024 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
EVV Registration Form
Income Verification Request
2024 Payment Schedule – ADW
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
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
EVV Mobile App User Guide
EVV Telephony Instructions
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2024 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
EVV Registration Form
Income Verification Request
2024 Payment Schedule – IDD/TBI
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
Resources
PO Employer Training Guide
PO Worker Training Guide
Employer Training Verification Attestation Form
Worker Additional Training Hours Resource
Initial Training Verification Form
Time Entry User Guide
EVV Mobile App User Guide
EVV Telephony Instructions
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2024 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
EVV Registration Form
Income Verification Request
2024 Payment Schedule – IDD/TBI
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Verification of City Service Withholding Authorization
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
EVV Mobile App User Guide
EVV Telephony Instructions
Worker Backup Plan
WV Pre-Approved CPR and First Aid Providers