Personal Care (PC) services are available to assist an eligible member to perform activities of daily living (ADL) and instrumental activities of daily living (IADLs) in the member’s home, place of employment or community. To be eligible, an applicant must have an eligible West Virginia Medicaid card then meet the program criteria for medical eligibility.
For more information contact:
Teresa McDonough, Program Manager
Bureau for Medical Services 350 Capitol Street, Room 251
Charleston, WV 25301
Phone: (304) 352-4240
Email: Teresa.M.McDonough@wv.gov
| PC Contracted Operations Agency (OA):
Bureau of Senior Services (BoSS)
Susan Silverman, Director of Medicaid Operations
1900 Kanawha Blvd., East
Charleston, WV 25305
Phone: (304) 558-3317
Fax: (304) 558-6647
Email: Susan.R.Silverman@wv.gov
Website: www.wvseniorservices.gov |
BoSS Department Contacts:
Incident Management Reporting, Quality Initiatives and Complaints, and Quality Council Information
Mark Fordyce, Program Manager
Phone (304) 558-3317
Email: Mark.E.Fordyce@wv.gov
| Tamra, Grueser, RN, Hearing Coordinator
PC Hearings Closures
Phone: (304) 558-3317 ext. 137
Pat Meade, Transfer Coordinator
Phone: (304) 558-3317
Email: Patricia.J.Meade@wv.gov
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Utilization Management Contractor (UMC)
KEPRO
1007 Bullitt Street, Second Floor
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
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Billing Questions
Gainwell Technology (Formerly DXC Technology) 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, Modivcare at 1-844-549-8353, Monday-Friday 7:00 a.m. to 6:00
p.m. at least five 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.