---
title: "West Virginia Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/west-virginia/medicaid-long-term-care/
description: "West Virginia Medicaid covers nursing facilities, ICF/IID care and home and community-based care, with medical and financial eligibility reviews."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
West Virginia · Medicaid Program

# West Virginia Medicaid Long-Term Care

Last updated 2026-10-20

West Virginia's long-term-care Medicaid isn't a single program so much as a set of related pathways. The state's public guidance covers people in a Nursing Home Facility, those in an Intermediate Care Facility for Individuals with Intellectual Disabilities, and people cared for at home who need the same level of care a nursing-home resident would require. Importantly, both medical and financial requirements have to be satisfied — a diagnosis alone or a thin bank account alone doesn't establish coverage.

The Bureau for Medical Services sets the underlying Medicaid policy, as identified in the state's own estate-recovery manual, and that manual treats nursing-facility care and home- and community-based services as the two core long-term-care categories. For someone applying for home care specifically, financial eligibility gets determined through a Department of Human Services county office or the Social Security Administration, while a nurse completes the separate medical assessment.

## Sources and official resources

- [West Virginia BFA: Medicaid and Medicaid for Long Term Care](https://bfa.wv.gov/medicaid-and-medicaid-long-term-care)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full West Virginia guide](https://fundingltcmarketplace.com/states/west-virginia/)