Personal Care Services

Personal Care (PC) services are available to assist an eligible member to perform activities of daily living (ADLs) 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) 356-4924
Email: Teresa.M.McDonough@wv.gov

PC Contracted Operations Agency (OA)
Bureau of Senior Services (BoSS)
TBD, Director of Medicaid Operations
1900 Kanawha Blvd., East
Charleston, WV 25305
Phone:  (304) 558-2241
Fax:  (304) 558-6647
Email: 
Website:  www.wvseniorservices.gov

BoSS Department Contacts:
Cecilia Brown, Program Manager                                                                                      Tamra Grueser, RN, Hearing Coordinator                                           
PC Complaints, Incident Management Reporting and Quality                                           PC HearingsClosures
Phone: (304) 558-2241 ext. 122                                                                                         Phone:  (304) 558-2241 ext. 137
Email:  Cecilia.A.Brown@wv.gov                                                                                        Email:  Tamra.R.Grueser@wv.gov

Cathy Richardson, Transfer Coordinator
Phone:  (304) 558-2241
Email:  Cathy. J. Richardson@wv.gov

 

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

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, LogistiCare 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.


 

 

 

350 Capitol Street | Room 251 | Charleston, WV 25301 | Phone: (304) 558-1700 | Contact Us | Site Map