Medicaid provides medical care in the community or in an institutional setting, such as a nursing home, to individuals who otherwise may not be able to afford the care. A variety of services are provided, according to state and federal guidelines, depending upon the individual or family circumstances. Recipients of Supplemental Security Income (SSI) automatically qualify for Medicaid. In addition, other individuals or families may apply for and receive Medicaid if eligible and it is provided under a number of coverage groups. Medicaid is administered at the federal level by the Centers for Medicare and Medicaid Services (CMS) under the U.S. Department of Health and Human Services.
There are many ways to qualify for Medicaid. Some of these coverage groups are mandatory, i.e., required by CMS to be provided by each state, and some are optional. With the combination of the mandatory and optional coverage groups, and those for which West Virginia has received waivers from federal requirements, West Virginia offers coverage to a wide range of groups.
Click here to download the Medicaid Eligibility and Requirements fact sheet.
Print Versions of Forms:
For questions or application assistance, contact your local DHHR office. Click here for a list of all county offices.
Medicaid for Long Term Care
There are four types of Medicaid for Long Term Care coverage:
The individual must meet certain medical criteria, as well as the financial requirements.
to download the Medicaid for Long Term Care Eligibility and Requirements fact sheet.
Print Versions of Form:
For information about how to apply for this program, contact your local DHHR office. Click here for a list of all county offices.
James "Tiger" Morton Catastrophic Illness Commission
If you do not qualify for Mediaid or Medicaid for Long Term Care but are facing life-threatening illness, you may be eligible for assistance through the James “Tiger” Morton Catastrophic Illness Commission (JTMCIC).
For more information, visit the JTMCIC website or call the JTMCIC at (304) 558-9027.