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WEST VIRGINIA · CARE PROGRAM

Aged and Disabled Waiver and Traumatic Brain Injury Waiver

Agency staff of ADW and TBIW providers (case management, personal attendant, skilled nursing) and personal attendants hired under Personal Options through the fiscal agent. Both chapters send providers to WV CARES, so the checks are the same.

ADW / TBIW · ON FILE
Registries named
7
Required
7
Expected
0
Screened by ezOIG
5 of 7
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then at least monthly (Medicaid providers)
    BASIS
    BMS Provider Manual Ch. 800 §800.5.5.1; Ch. 700 §700.7.1 (monthly WV CARES rechecks include the LEIE); 71 CSR 11-2.12, 11-3.1; BMS Ch. 501 §501.3.1; Ch. 512 §512.5

    Providers must review publicly available databases at least monthly to identify any individuals/entities that have been disqualified or excluded via criminal conviction/license revocation or restricted from providing/being reimbursed for services paid by any federal/state program. ... Publicly available databases include but are not limited to the OIG’s List of Excluded Individuals (LEIE)

    Read the source bms.wv.gov

  2. West Virginia Medicaid Provider Exclusions and Terminations

    Bureau for Medical Services, West Virginia Department of Human Services (published on the Gainwell WV Medicaid portal)

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then at least monthly (Medicaid providers)
    BASIS
    BMS Provider Manual Ch. 800 §800.5.5.1; 71 CSR 11-2.12 ('West Virginia Medicaid Exclusions List'), 11-3.1

    Providers must review publicly available databases at least monthly to identify any individuals/entities that have been disqualified or excluded ... Publicly available databases include but are not limited to the OIG’s List of Excluded Individuals (LEIE), the West Virginia Medicaid list of providers terminated/excluded for cause, and the websites of healthcare licensing entities.

    Read the source bms.wv.gov

  3. West Virginia Nurse Aide Registry

    Office of Health Facility Licensure and Certification (OHFLAC), Office of Inspector General

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then monthly WV CARES rechecks (Medicaid providers)
    BASIS
    W. Va. Code §16B-15-1 (covered provider: provider of personal care services), -3; 71 CSR 11-2.4, 2.12, 3.1; BMS Provider Manual Ch. 501 §501.3.1, Ch. 512 §512.5, Ch. 700 §700.7.1

    Prescreening. -- means a mandatory search of internet-based registries and databases for exclusions and licensure status prior to the submission of fingerprints ... Registries and databases included in prescreening include, but are not limited to ... National Nurse Aide Registry, West Virginia Nurse Aide Registry

    Read the source law.cornell.edu

  4. National Sex Offender Public Website

    U.S. Department of Justice

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then monthly WV CARES rechecks (Medicaid providers)
    BASIS
    W. Va. Code §16B-15-1 (covered provider: provider of personal care services), -3; 71 CSR 11-2.4, 2.12, 3.1; BMS Provider Manual Ch. 501 §501.3.1, Ch. 512 §512.5, Ch. 700 §700.7.1

    Prescreening. -- means a mandatory search of internet-based registries and databases for exclusions and licensure status prior to the submission of fingerprints ... Registries and databases included in prescreening include, but are not limited to ... National Sex Offender public website

    Read the source law.cornell.edu

  5. West Virginia Sex Offender Registry

    West Virginia State Police

    SCREENED BY EZOIG Sex offender registry check
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then monthly WV CARES rechecks (Medicaid providers)
    BASIS
    W. Va. Code §16B-15-1 (covered provider: provider of personal care services), -3; 71 CSR 11-2.4, 2.12, 3.1; BMS Provider Manual Ch. 501 §501.3.1, Ch. 512 §512.5, Ch. 700 §700.7.1

    Prescreening. -- means a mandatory search of internet-based registries and databases for exclusions and licensure status prior to the submission of fingerprints ... Registries and databases included in prescreening include, but are not limited to ... National Sex Offender public website, and West Virginia Sex Offender Registry.

    Read the source law.cornell.edu

  6. Registered Professional Nurse License Lookup

    West Virginia Board of Registered Professional Nurses

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    MONTHLY Before hire, then at least monthly (Medicaid providers); RNs, social workers, case managers and counselors
    BASIS
    BMS Provider Manual Ch. 800 §800.5.5.1 ('websites of healthcare licensing entities'); 71 CSR 11-3.1 (licensure databases in WV CARES prescreening); BMS Provider Manual Ch. 501 §501.3.3.7 and Ch. 512 §512.14 (professional credentials verified upon hire and thereafter)

    Providers must review publicly available databases at least monthly to identify any individuals/entities that have been disqualified or excluded via criminal conviction/license revocation or restricted from providing/being reimbursed for services paid by any federal/state program. ... Publicly available databases include but are not limited to ... the websites of healthcare licensing entities.

    Read the source bms.wv.gov

  7. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY Before hire (WV CARES prescreening), then monthly WV CARES rechecks (Medicaid providers)
    BASIS
    W. Va. Code §16B-15-1 (covered provider: provider of personal care services), -3; 71 CSR 11-2.4, 2.12, 3.1; BMS Provider Manual Ch. 501 §501.3.1, Ch. 512 §512.5, Ch. 700 §700.7.1

    Prescreening. -- means a mandatory search of internet-based registries and databases for exclusions and licensure status prior to the submission of fingerprints ... Registries and databases included in prescreening include, but are not limited to ... GSA System for Award Management

    Read the source law.cornell.edu

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

None for this program.

Also required

Not registry lookups; ezOIG doesn't run these
  • Fingerprint-based State Police and FBI criminal history check through WV CARES before hire, with a fitness determination and Rap Back; up to 60 days of supervised provisional employment while it is pending (W. Va. Code §16B-15-3, -6; 71 CSR 11-4, 11-6)
  • ADW allows no provisional employees (BMS Ch. 501 §501.3.1); the State Police (CIB) check is repeated every five years (Ch. 501 §501.3.1; Ch. 512 §512.5)
  • No provisional employment for personal care workers while the WV CARES determination is pending (71 CSR 11-6.4)
  • First Aid, CPR and competency-based personal attendant training before service, then annually (BMS Ch. 501; Ch. 512)

Why some registries are not screened yet

The registry's terms forbid automated searches
The registry's terms, or the law behind it, rule out automated or third-party searches, so ezOIG doesn't run them.

Guidance, not legal advice

This page summarizes ezOIG's research into West Virginia's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with West Virginia Department of Human Services, Bureau for Medical Services (BMS) or your own counsel before relying on it.

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