A nursing facility is defined as an institution (or a distinct part of an institution) which is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care, rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases and in accordance with Soc. Sec. Act, Sect. §1819 (a)(2), has in effect a transfer agreement (meeting the requirements of section Soc. Sec. Act, Sect. §1861(l)) with one or more hospitals having agreements in effect under Soc. Sec. Act, Sect. §1866.) (42 CFR, Part §483).
To find a nursing facility, use this Health Care Facility Search Tool, please click here.
Policy Manual for Nursing Facility Services.
For more information, please contact Terry McGee, Program Manager for Long-Term Care Facilities, at 304-352-4241 or by email at terry.l.mcgeeii@wv.gov.
For Billing Schedules, please click here.
For Bed Hold Forms, please click here.
For Cost Report Memos, please click here.
Case Mix Classification
Patient-Driven Payment Model (PDPM) Case Mix