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W. Va. C.S.R. § 64-60 (Series 60) — Approved Medication Assistive Personnel (AMAP), § 64-60-4 AMAP Program Administration

West VirginiaregulationWest Virginia Department of Health, Office of Health Facility Licensure and Certification (OHFLAC)

What this rule requires your agency to do

  • 1The authorizing RN must evaluate whether medication tasks are appropriate to delegate using a delegation decision model and determine that the resident is in stable condition relative to the tasks before delegating them to AMAP. (W. Va. C.S.R. § 64-60-4)(W. Va. C.S.R. § 64-60-4)
  • 2The provider must ensure the authorizing RN has successfully completed the authorized registered professional nurse training for the AMAP program and knows all facility AMAP policies and procedures. (W. Va. C.S.R. § 64-60-4)(W. Va. C.S.R. § 64-60-4)
  • 3The provider must ensure the authorizing registered professional nurse holds a current, active, and unencumbered RN license and has practiced in a position requiring knowledge of medications for the immediate two years before overseeing AMAP staff. (W. Va. C.S.R. § 64-60-4)(W. Va. C.S.R. § 64-60-4)
  • 4A non-nursing-home facility (including private residences providing health care services under RN supervision) must purchase and maintain liability insurance covering licensed and unlicensed personnel in the delivery of services. (W. Va. C.S.R. § 64-60-4)(W. Va. C.S.R. § 64-60-4)
  • 5The provider must ensure an AMAP candidate who fails the first competency test waits seven calendar days before a second attempt, and, after failing three attempts, waits six months to gain more training and experience before restarting competency testing. (W. Va. C.S.R. § 64-60-4)(W. Va. C.S.R. § 64-60-4)
  • 6The provider must ensure AMAP staff are trained by OHFLAC-approved registered professional nurses and work under the supervision of the registered professional nurse. (W. Va. C.S.R. § 64-60)(W. Va. C.S.R. § 64-60)

Applies to: Unlicensed personnel administering medications under RN supervision, including in private residences where health care services are provided under RN supervision (home/personal care), assisted living residences, behavioral health group homes, ICF/IID, and adult family care homes.

West Virginia's AMAP legislative rule (Title 64, Series 60) authorizes trained unlicensed personnel to administer medications under RN supervision across five settings, including private residences receiving health care services under RN supervision. Section 64-60-4 sets requirements for the authorizing RN's licensure and experience, RN training, delegation decision-making and resident stability determination, AMAP competency testing sequencing, and liability insurance for non-nursing-home facilities.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.