West Virginia Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in West Virginia** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your West Virginia Medicaid Office to verify these eligibility requirements.

West Virginia Medicaid Overview
Medicaid provides coverage for working families with low incomes.

West Virginia Medicaid Eligibility
The enrollee must be West Virginia resident and U.S. citizen or legal aliens.

Medicaid Income Requirements In West Virginia
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 158% FPL
Age 1-5 141% FPL
Age 6-18 133% FPL

Pregnant Women
158% FPL

Adults
Parents 133% FPL
Other Adults 133% FPL
Is Medicaid Expanding? Yes

Documents You May Need
Proof of U.S. citizen or legal alien status
Proof of residency in Virginia
Proof of identity and/or age
Social Security numbers and birthdays of everyone applying
Proof of income
If applicable, proof of pregnancy
If applicable, proof of disability
Information about paid expenses for children or adult care
Information about current health insurance or health insurance that has been lost in the past 6 months

Medicaid Coverage In West Virginia
Services include but are not limited to inpatient and outpatient hospital care, nursing home care, physician services, laboratory and x-rays, immunizations and other early and periodic screening, diagnostic, and treatment (EPSDT) services for children, family planning, health centers and rural health clinics.

**The information provided above is a general guideline when applying for West Virginia Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in West Virginia to verify the latest eligibility requirments for Medicaid coverage in West Virginia.