The Aged and Disabled Waiver, generally known as ADW, is West Virginia's main pathway for keeping someone at home or returning them home instead of a nursing facility. To qualify, an applicant must be 18 or older, live in West Virginia, meet Medicaid's waiver financial rules, be approved for nursing-home level of care through a nurse's assessment, and actively choose waiver services over nursing-home placement.
According to the ADW policy manual, BMS Chapter 501, gross monthly income can't exceed 300% of the current maximum SSI payment for someone to participate, and protected couple assets aren't counted against the spouse who's staying home and needs care. The older official flyer supplies the related program's resource figures — $2,000 for an individual, $3,000 for a couple — though a current county-office decision is still what actually applies those rules to a household's real assets and income. Slot capacity matters here too: roughly 8,750 CMS-approved slots were reported as of March 2026, and West Virginia's Managed Enrollment List can add delay before someone actually gets into the program.