Ways to apply for West Virginia Medicaid
These are the channels West Virginia names on its own Medicaid pages. Use whichever is easiest.
- Online
-
Apply online
wvpath.wv.gov
- By phone
- Call 1-877-716-1212
- In person
- Local county DoHS office, weekdays. Find an office
- By mail
- Get the paper application
- HealthCare.gov
- You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to West Virginia's agency.
- Decision time
- Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).
Read on the state's own pages, October 13, 2026.
Key facts at a glance
- Pregnant women eligible up to 190% FPL ($49,060 for a family of three in 2025).
- Children 0-5 eligible up to 158% FPL ($40,800 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Postpartum Medicaid extended to 12 months (effective 2022-07-01).
West Virginia Medicaid, topic by topic
Eligibility
Income limits & who qualifies
West Virginia Medicaid covers pregnant women up to 190% of the federal poverty line ($49,060 annual income for a family of three in 2025).
How to apply
How to apply step by step
Apply online at wvpath.wv.gov or call 1-877-716-1212.
Doula coverage
Doula coverage details
West Virginia Medicaid has a Medicaid doula benefit pending CMS approval.
Postpartum extension
12-month postpartum status
West Virginia Medicaid extended postpartum Medicaid coverage to 12 months, effective 2022-07-01.
Pregnant women
Pregnancy coverage in full
West Virginia Medicaid covers pregnancy-related care up to 190% of the federal poverty line (about $49,060 annual income for a family of th…
Renewal
Annual renewal & unwinding
West Virginia Medicaid redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69%…
For Black families
Roughly 18,000 Black residents are enrolled in West Virginia Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
West Virginia's Medicaid expansion enrollment remains one of the highest per capita in the country, roughly 29% of the state's population. SB 325 (2024) directed the Bureau for Medical Services to develop a doula benefit State Plan Amendment.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/wv/.
More on West Virginia from Black Health
FQHCs
Federally Qualified Health Centers in West Virginia
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in West Virginia
Filter our directory to West Virginia by specialty.
Health data
Black Health outcomes in West Virginia
Maternal mortality, life expectancy, uninsured rate by race.
Sickle cell
Medicaid gene-therapy coverage in West Virginia
Does West Virginia Medicaid cover Casgevy + Lyfgenia? SCDAA chapter, comprehensive centers.
Hospitals
Safety-net hospitals in West Virginia
CMS ratings, Medicaid-accepting hospitals, and which facilities anchor care for Black patients.
Tool
Medicaid eligibility pre-check for West Virginia
Household size and income, in about a minute. Direct link to West Virginia’s apply portal.
WIC
WIC in West Virginia
Adjunctive WIC eligibility for everyone on West Virginia Medicaid, monthly food package + Cash-Value Benefit.
SNAP
SNAP (food stamps) in West Virginia
Federal food assistance: FY 2025 max benefits, ABAWD rules, application URL for West Virginia.
TANF
TANF cash assistance in West Virginia
West Virginia’s maximum monthly TANF cash benefit, time limits, and how to apply.
Data sources
- West Virginia Medicaid — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed:
If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:
Sesame Care
See a doctor online today.
Same-day video visits from $34
See a doctor today