West Virginia Medicaid Eligibility Calculator (2026)

WVCHIP for children and pregnancy

Medicaid covers babies to 158% of the poverty line and older children to 141% or 133%; WVCHIP covers them above that to 300%.^[MACPAC] Pregnancy is covered by Medicaid to 185% and by CHIP to 300%.^[MACPAC]

A trigger bill that stalled

West Virginia has covered expansion adults since January 1, 2014.^[KFF] In March 2025 the House Finance Committee passed a bill to end expansion coverage if the federal match is reduced; the Rules Committee moved it to the inactive calendar.^[KFF]

Postpartum

West Virginia’s postpartum extension was approved September 8, 2022.^[KFF] Newborns are deemed eligible to 185% under Medicaid or 300% under WVCHIP, matching the pregnancy layers.^[MACPAC]

West Virginia offers no poverty-level group for older adults: SSI recipients are covered automatically, others may spend down to the medically needy level, and long-term-care applicants qualify with income up to $2,982 a month.^[MACPAC]

Applying

Apply through WV PATH. Parents have their own group only to 14% of the poverty line; older adults can use a medically needy spend-down near 15%.^{[MACPAC][MACPAC]}