State Profile · Deep
WEST VIRGINIA
D+Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN WEST VIRGINIA
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
90 days from your Notice of Decision / Notice of Action
Keep services during appeal
File within 13 days
- Receive Notice of Decision
- I/DD Waiver & Medicaid: request Medicaid Fair Hearing within 90 days of receipt of Notice of Decision (Ch. 513 §513.6.1.1)
- To continue services: submit Request for Hearing within 13 days of receipt of Notice of Decision (Ch. 513 §513.25.4.1)
- Managed care: MCO internal appeal within 60 days then State Fair Hearing 120 days after MCO resolution
- Hearing before the Board of Review (Office of Inspector General)
KEY AGENCIES & RESOURCES
Aging & Disability Resource Center
West Virginia ADRC / Aging and Disability Resource Center
NOTABLE WAIVERS
IDD Waiver (IDDW)
SourceChildren and adults with intellectual/developmental disabilities.
Waitlist: Managed enrollment list moves slowly; annual anchor date matters — apply early.
Aged and Disabled Waiver (ADW)
SourceSeniors and adults with physical disabilities.
Waitlist: Apply through BMS; assessment-based.
Children with Serious Emotional Disorders Waiver (CSEDW)
SourceChildren 3-21 with serious emotional disorders.
Waitlist: Newer waiver; ask about current capacity.
