The short answer West Virginia has no comprehensive state training law for home care workers: Medicare-certified home health agencies follow the federal 75-hour/12-hour standard under OHFLAC oversight, and non-medical in-home care agencies are not licensed — the state instead operates a voluntary in-home care worker registry and requires abuse-registry screening.
What West Virginia requires
West Virginia
Federal baseline for HHAs. Home health agencies in West Virginia are surveyed by the Office of Health Facility Licensure and Certification (OHFLAC) against the federal Conditions of Participation; aide training follows 42 CFR 484.80 (75 hours or competency evaluation) with no stricter state hour mandate.
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No non-medical licensure; voluntary registry. West Virginia does not license non-medical in-home care agencies. Instead, WV Code 16-5P-15 directs the Bureau of Senior Services to maintain a voluntary in-home care worker registry listing unlicensed caregivers who obtain criminal background checks.
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Abuse registry screening. Home care service providers not otherwise licensed or certified must register with OHFLAC to access the state central abuse registry and screen prospective caregivers against it (WV Code 15-2C).
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Annual in-service. The only recurring training requirement is the federal 12 hours of in-service per 12-month period for home health aides at certified agencies; no state rule imposes annual training on non-medical caregivers.
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The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
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Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
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12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
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RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
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