Short answer
Generally no
No. The Aged and Disabled Waiver says you can't hire a spouse or legal guardian to provide your care (ADW recipient guide).
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The programs to ask about, documents to gather, and who to call in West Virginia. Print it now, no email needed.
Programs to ask about in West Virginia
1
Aged and Disabled Waiver – Personal Options
Participants self-direct and can hire family or friends.
How to apply
See adwprogram.wv.gov.
If a spouse can't be paid, another relative often can. See who can be paid in West Virginia.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.