Personal Care Services

Personal Care Services are medically necessary activities or tasks ordered by a physician, which enable people to meet their needs in their homes rather than on an inpatient or institutional basis. These services are normally provided in the individual's residence except in instances where the individual needs them provided in the workplace in order to obtain and/or retrain competitive employment.
For more  information contact:

Teresa McDonough, Program Manager                       
Bureau for Medical Services                                                                                                                                                                                                                                  350 Capitol Street, Room 251
Charleston, WV 25301
Phone: (304) 356-4924
Email: Teresa.M.McDonough@wv.gov

Operating Agency (OA) Bureau of Senior Services (BoSS)
Arlene Hudson, Director of Medicaid Services
Bureau of Senior Services
Phone:  (304) 558-2241 ext. 128
Email:  Arlene.M.Hudson@wv.gov

Personal Care link on the BoSS website:
http://www.wvseniorservices.gov/HelpatHome/MedicaidPersonalCare/tabid/78/Default.aspx

Utilization Management Contractor (UMC)
KEPRO
100 Capitol Street, Suite 600
Charleston, WV 25301
Phone:  (844) 723-7811
             (304) 343-9663
Fax:      (866) 212-5053
KEPRO Healthcare Website:  http://wvaso.kepro.com/programs/personal-care-program/
General Email:  WVPersonalCare@kepro.com

Billing Questions
Molina Health Care Solutions at (304) 348-3360 or (888) 483-0793

Authorization Verification
KEPRO at (304) 343-9663

 

Non-Emergency Medical Transportation
Non-Emergency Medical Transportation (NEMT) is available to Medicaid members who need assistance in order to keep scheduled medical appointments and treatments.  In order to be eligible for NEMT, a person must be a Medicaid member and have an appointment for medical treatment that is approved
under Medicaid guidelines.
 
For more information, to request gas mileage reimbursement, or schedule a trip please call the Medicaid NEMT broker, MTM at 1-844-549-8353, Monday-Friday 7 a.m. to 6 p.m. at least 5 business days before your appointment.
 
They will need to have the member’s name, Medicaid ID number, home address, phone number, where the member is to be picked up, the name, phone number and address of the health care provider, the date and time of your appointment and general reason for the appointment. Also, please let the operator know if you have any special needs such as a wheelchair accessible vehicle, assistance during the trip or someone to ride with you.


 

 

 

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