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West Virginia Aged and Disabled Waiver Program PERSONAL ATTENDANT LOG ADWParticipantsFirstandLastName: PAAgencyorPersonalOption: PlanPeriod:RN/Signature: Date: ServiceLevel/Hours:Antigen: Hours/Day:Changeinhours,
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01
Obtain a copy of the West Virginia Aged and Disabled Waiver application form from the West Virginia Department of Health and Human Resources.
02
Fill out the personal information section of the form, including your name, address, date of birth, and contact information.
03
Provide information about your income, assets, and medical condition to determine your eligibility for the program.
04
Attach any necessary documentation such as proof of income, medical records, and identification.
05
Review the completed application form to ensure all information is accurate and complete.
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Sign and date the application form.
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Submit the completed application form along with any supporting documents to the West Virginia Department of Health and Human Resources either by mail or in person.

Who needs west virginia aged and?

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The West Virginia Aged and Disabled Waiver is designed for individuals who are aged 65 and older or disabled and in need of long-term care services.
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This program provides assistance to those who want to continue living in their own homes or community-based settings rather than in nursing homes or other institutional settings.
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Individuals who require help with activities of daily living (such as bathing, dressing, meal preparation) or instrumental activities of daily living (such as housekeeping, transportation, managing medications) are eligible for the program.
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Those with low income and limited assets may also qualify for additional financial assistance through the waiver program.
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West Virginia Aged and Disabled Waiver (ADW) is a program that provides home and community-based services to individuals who are elderly or disabled.
Individuals who meet the eligibility requirements for the ADW program are required to file West Virginia Aged and Disabled Waiver applications.
To fill out the West Virginia Aged and Disabled Waiver application, individuals must provide information about their personal and financial situation to determine eligibility.
The purpose of the West Virginia Aged and Disabled Waiver program is to allow elderly and disabled individuals to receive necessary services in their own home or community.
Information such as personal identification, income, assets, and medical history must be reported on the West Virginia Aged and Disabled Waiver application.
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