Starting a West Virginia Home Health or Personal Care Agency?

The cards show the certified home health, non-Medicare skilled home health, and non-medical personal care models. West Virginia uses CON review for home health projects and requires covered unlicensed personal care businesses to register for the Central Abuse Registry. Those approvals are different from a general agency license.

The state contacts for the pathways on this page are West Virginia Office of Health Facility Licensure and Certification and West Virginia Health Care Authority. The personal care framework is W. Va. Code 15-2C-7 and applicable personal care, employment, and business requirements; the skilled framework is W. Va. Code 16-2D and applicable professional-practice requirements. The specific licensing, registration, designation, or program route depends on the services offered.

Yes. W. Va. Code 15-2C-7 requires covered businesses not otherwise licensed by OHFLAC that provide personal care to register for the Central Abuse Registry. Registration is not a substitute for a license or a program approval when either separately applies.

West Virginia requires covered unlicensed businesses providing personal care to register with OHFLAC for the Central Abuse Registry. W. Va. Code 15-2C-7 prohibits a fee for this registration, so the registration fee is $0. This is not a personal care license. Business costs and any separate public-program approvals are additional.

No. The personal care agency definition in the CON law refers to a provider approved by the Bureau for Medical Services. A private-pay non-medical business and an approved public-program provider have different approval and billing requirements.

We prepare the applicable business and operational materials and the OHFLAC registration information for the selected private-pay model. A separate public-program application or Certificate of Need proposal is not included unless it is part of a written agreement.

Assign assistance with bathing, dressing, grooming, mobility, meals, toileting, transportation, and errands according to the service plan. Nursing assessment, treatment, and other professional services require the proper professional authority.

Address Central Abuse Registry access and required employment screening for the business. Covered providers must also follow any applicable WV CARES and program screening requirements. Keep eligibility decisions and supporting records before assigning staff.

Designate a responsible manager for hiring, training, schedules, client plans, supervision, complaints, and emergency coverage. Additional professional or program qualifications apply if the agency chooses services beyond this private-pay non-medical scope.

Document the client's assistance needs, authorized tasks, visit times, preferences, safety concerns, emergency contacts, and instructions for changes. Give caregivers clear task assignments and require documentation of completed visits.

No. Central Abuse Registry registration does not create Bureau for Medical Services approval, a payer contract, or a service authorization. Program participation and any associated CON requirements must be completed separately.

West Virginia lists a $100 fee for a Certificate of Need reviewability determination. A CON application with capital expenditure up to $1.5 million carries a $1,500 filing fee; larger projects have higher scheduled fees. These are CON fees, not a separate Home Health Agency license fee, and are separate from our package.

West Virginia regulates new home health projects through the Certificate of Need program. The OHFLAC facility fee schedule does not establish a separate HHA license fee. Address the Health Care Authority approval process and professional requirements for the proposed operation.

No. Private payment is not by itself a blanket exemption from the home health CON requirements. Obtain a reviewability determination when the project's status needs to be resolved before proceeding.

The statutory definition includes part-time or intermittent nursing care directed or supervised by a registered nurse, together with at least one other listed service, such as aide services, therapy, nutrition, or social work. The business must have qualified staff and the approvals appropriate to that scope.

The listed package supports business and operational startup documents and preparation of the applicable reviewability request. A full CON proposal, including its need analysis, financial projections, and related proceedings, is separate unless included in a written agreement.

A registered nurse directs or supervises the nursing services described in the statutory HHA model. Verify professional licenses and document the clinical leadership, staff qualifications, delegation, supervision, and coverage arrangements.

Maintain assessments, required practitioner orders, individualized plans, visit notes, medication information, communications, incidents, and discharge records. The record should support the care provided and the agency's coordination of professional services.

Determine which Central Abuse Registry and WV CARES requirements apply to the agency and each role, and complete required eligibility checks. Retain professional license verification and competency records for clinical staff.

No. Insurance, VA, Workers Compensation, and public-program participation depend on separate provider, contract, authorization, and billing requirements. The state project approval does not itself establish Medicare billing authority.

Establish written emergency contacts, staff escalation, backup coverage, weather and travel procedures, and instructions for clients when a scheduled visit cannot occur. For an immediate medical emergency, staff should activate emergency services. Keep the response appropriate to the West Virginia services your agency is authorized to provide.

Provide a clear contact for concerns, record each complaint, assign follow-up, document the response, and review patterns that call for changes. Preserve client confidentiality and follow applicable abuse, neglect, and incident-reporting requirements.

This service model does not have a separate agency-license quality-program requirement. Written policies and documented quality reviews remain sound operating practices; professional standards and any selected provider program can impose additional requirements. Use client feedback, incidents, missed visits, and record reviews to identify and correct service problems.

Home Health Forms provides West Virginia-specific quality improvement and written policies.

The West Virginia Home Care Agency Complete Startup Package may include:

• A professionally designed company logo.
• A customized WordPress business website.
• One year of website hosting.
• One year of domain registration.
• 500 customized business cards.
• 500 customized tri-fold brochures.
• West Virginia-specific policies and procedures for private-pay non-medical home care business.
• Human-resources and personnel documents.
• New-client admission documents.
• Operational and administrative forms.
• Preparation of the West Virginia OHFLAC registration information and business startup documents.
• Access to the Home Health Forms members' area.
• Customization of documents to the purchaser's agency.
• Ongoing guidance and applicable document updates.

Home Health Forms provides startup guidance, customized documents, and preparation of the business or approval materials listed in the package. This service model does not have a separate state agency license application. The relevant agencies and payers make any required approval decisions.

The applicant remains responsible for accurate company information, professional qualifications where applicable, staffing, insurance, employment screening, business registrations, and operational compliance. Home Health Forms provides guidance and state-specific documents to support your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after Home Health Forms receives all company information needed to complete the customization.

logo creation, website development, domain registration, printing, shipping, and other package components may have separate production timelines.

Cancellation and refund eligibility depends on the work already completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.