BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11)

What this rule requires your agency to do

• 1Legally responsible persons (spouse, parent of a minor child) and court-appointed legal guardians are prohibited from being paid caregivers; an MPOA/POA/healthcare surrogate providing services must work for an ADW provider agency or, in self-direction, the member must have a program representative who is not that person (§501.6.3).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 2Services requiring EVV (such as personal attendant care) must use the EVV system to check in at the beginning of the visit and after the visit, with the member or authorized representative verifying the visit; personal attendants living in the member's home are exempt (§501.5).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 3All personal attendants who do not reside in the member's home must have their own NPI number to link the worker to the member (§§501.5, 501.6.3).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 4A case manager must be licensed in West Virginia as a social worker, licensed professional counselor, or RN, or hold a four-year degree in an approved Human Services field and pass BMS Case Management Certification training prior to billing for ADW services (§501.6.1).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 5All training must be competency-based; competency is passing a graded posttest at no less than 70%, except Case Management Certification and STP training, which require 80% (§501.6).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 6CPR, First Aid, Universal Precautions, ANE identification, and HIPAA training must be kept current annually, and four additional hours of direct-care service delivery training must be provided each year; initial training must be repeated if a gap in employment exceeds one year (§501.6.4).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 7The agency RN must hold a current West Virginia RN license documented for the entire employment period, and non-medical transportation staff must have a valid driver's license and proof of current vehicle insurance and registration, checked annually (§§501.6.6, 501.6.9).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))
• 8Personal attendants must be at least 18 years of age and complete required initial competency-based training (CPR, First Aid, universal precautions, personal attendant skills provided by the agency RN, ANE identification, HIPAA, direct-care ethics, member health and welfare, person-centered planning, personal attendant safety, and WV STP training) before providing service (§§501.6.3, 501.6.4).(BMS Provider Manual, Chapter 501 Aged and Disabled Waiver (ADW) — Electronic Visit Verification and Staff Qualifications and Training Requirements (Sections 501.5–501.6.11))