Find & Ask › West Virginia › this rule
West Virginia Medicaid Provider Manual, Chapter 508 - Home Health, § 508.16 Documentation Requirements
West Virginiasub-regulatoryWest Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS)· effective 2018-12-21
What this rule requires your agency to do
- 1The provider must ensure all professional licensed service orders and notes in the record are signed, credentialed, and dated. (§ 508.4)(§ 508.4)
- 2The provider must maintain all required documentation at the agency on behalf of the State of West Virginia and keep it accessible for state and federal (post-payment) audits. (§§ 508.1, 508.16)(§§ 508.1, 508.16)
- 3The provider must document a plan of care that is clear, specific, and measurable and that supports the establishment of medical necessity. (§ 508.4)(§ 508.4)
- 4The provider must maintain the plan of care form (CMS-485 & CMS-486), or the agency's own plan-of-care form, together with OASIS assessments on file in the member's record. (§ 508.16)(§ 508.16)
- 5The home health agency must keep all required plan-of-care (POC) data elements in a readily identifiable location within the member's medical record. (§ 508.16)(§ 508.16)
Applies to: home health / home care (Medicaid-enrolled home health agencies)
West Virginia Medicaid Chapter 508 governs Home Health services and sets the client-record documentation obligations for Medicaid-enrolled home health agencies: agencies must maintain the plan of care (CMS-485/486 or agency equivalent) and OASIS assessments, keep required plan-of-care data elements in a readily identifiable place in the medical record, ensure all professional orders and notes are signed/credentialed/dated, and retain all documentation at the agency accessible for state and federal audits. The chapter does not specify an explicit retention period.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.