Medicaid Eligibility in West Virginia 2026: Income Limits, Requirements & How to Apply

Medicaid Expansion Status in West Virginia

West Virginia has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

Who Qualifies for Medicaid in West Virginia?

Medicaid in West Virginia covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

Medicaid for Seniors (65+) in West Virginia

Seniors in West Virginia may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in West Virginia is $994/month for a single person. For nursing home care, the limit is $2,982/month.

Medicaid for People with Disabilities in West Virginia

People with disabilities who receive SSDI or SSI may qualify for Medicaid in West Virginia. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

How to Apply for Medicaid in West Virginia

You can apply for Medicaid in West Virginia through the following channels:

• Online: Through West Virginia’s state Medicaid portal or HealthCare.gov
• Phone: Call West Virginia’s Medicaid office directly
• In person: Visit your local Department of Social Services or Medicaid office
• Mail: Download and mail a paper application

Medicaid and Medicare Dual Eligibility in West Virginia

Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In West Virginia, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 86,400 dual-eligible individuals in West Virginia.

Medicaid Asset Limits in West Virginia

In addition to income limits, Medicaid for long-term care in West Virginia has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.