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West Virginia Medicaid for pregnant women

Who qualifies for West Virginia Medicaid, the income limit for your household size, what it covers and how to apply with West Virginia Department of Human Services, Bureau for Medical Services.

Limits as of January 2026 · Checked October 2026 · 23 sources

Apply for West Virginia Medicaid

West Virginia Department of Human Services, Bureau for Medical Services runs it. We're not the state agency, so you apply with them, online or with help from your clinic or hospital.

Start your application

Opens wvpath.wv.gov

Check your income against the limit

Short answer

In West Virginia, you qualify for pregnancy Medicaid or CHIP if your household earns up to 305% of the poverty level: about $66,002 a year for a household of two (you and the baby). Coverage lasts 12 months after birth. A qualified clinic or hospital can enroll you the same day.

West Virginia pregnancy Medicaid income limits for 2026

Find your household size and compare your household's income with the limit. West Virginia Medicaid covers pregnancy up to 305% of the federal poverty level.

Medicaid itself goes to 185%. Between 185% and 305%, coverage is through CHIP.

West Virginia Medicaid income limits2026 guidelines, 48 states and DC
HouseholdMedicaid to 185%CHIP to 305%
2you + 1 baby$40,034$3,336/mo$66,002$5,500/mo
3$50,542$4,212/mo$83,326$6,944/mo
4$61,050$5,088/mo$100,650$8,388/mo
5$71,558$5,963/mo$117,974$9,831/mo
6$82,066$6,839/mo$135,298$11,275/mo
7$92,574$7,715/mo$152,622$12,719/mo
8$103,082$8,590/mo$169,946$14,162/mo

Annual and monthly household income. See the 2026 poverty guidelines

Your baby counts

For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A household of three in West Virginia, two adults expecting one baby, can earn up to $83,326 a year ($27,320 × 305%).

Limits are percents of the poverty level from KFF and Georgetown CCF (January 2026) and include the standard 5-point income disregard. West Virginia rounds and updates on its own schedule, so treat the dollars as approximate.

Sources: KFF State Health Facts; U.S. Department of Health and Human Services (Federal Register); eCFR (National Archives). Data as of October 2026.

How to apply in West Virginia

  1. Count your household

    Count yourself plus each baby you're expecting, and anyone else the state counts with you. Find your size in the table above.

  2. Apply with West Virginia Department of Human Services, Bureau for Medical Services

    Apply on the state's site (wvpath.wv.gov). Go to the West Virginia Medicaid application

  3. Ask for same-day coverage

    At your first prenatal visit, ask whether the clinic can enroll you through presumptive eligibility while your application is processed.

  4. Keep your coverage after birth

    West Virginia Medicaid covers you for 12 months after the pregnancy ends.

Get covered today

Yes

Presumptive eligibility lets a qualified clinic or hospital enroll a pregnant person in temporary Medicaid right away, while the full application is processed.

West Virginia uses it for pregnancy. Ask at your first prenatal visit whether the clinic can enroll you.

Source: KFF and Georgetown University Center for Children and Families. Data as of January 2025.

12 months

of West Virginia Medicaid coverage after birth, since April 1, 2022

KFF postpartum tracker, July 2026

What West Virginia Medicaid covers for pregnancy

Coverage after birth, plus the three extras people ask about most, each from our state-by-state trackers.

After birth

12 months
West Virginia Medicaid keeps covering you for 12 months after the pregnancy ends, a rule in place since April 1, 2022.
Postpartum coverage in every state

Doula care

No
West Virginia Medicaid doesn't cover doula care.We list 23 doulas in West Virginia.
Doulas in West VirginiaDoula coverage in every state

Lactation support

No
In West Virginia, Medicaid lists lactation codes as not covered and has no separate lactation consultant benefit.
Lactation consultants in West VirginiaLactation coverage in every state

Breast pump

Yes
In West Virginia, Medicaid covers manual and electric breast pumps with a written order and no prior authorization.
Breast pump rules in West Virginia and every state

What's changing

Rules that affect pregnancy coverage in West Virginia now and in 2027.

Sources: U.S. Government Publishing Office; Centers for Medicare & Medicaid Services; KFF and Georgetown University Center for Children and Families

More for families in West Virginia

All 50 states and DC

Questions about pregnancy Medicaid in West Virginia

What is the income limit for pregnancy Medicaid in West Virginia?

West Virginia Medicaid covers pregnancy for household incomes up to 305% of the federal poverty level. At the 2026 guidelines that's about $66,002 a year for a household of two, $83,326 for three and $100,650 for four. Medicaid itself goes to 185% ($40,034 for two). Between 185% and 305%, coverage is through CHIP. Limits are KFF's figures as of January 2026.

Does my unborn baby count in my household size?

Yes. For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A single pregnant woman expecting one baby is a household of two; expecting twins, a household of three.

How long does West Virginia Medicaid cover you after birth?

12 months after the pregnancy ends, a rule in place since April 1, 2022.

Can I get covered the same day in West Virginia?

Yes. West Virginia uses presumptive eligibility for pregnancy, so a qualified clinic or hospital can enroll you in temporary Medicaid the same day while your full application is processed.

How do I apply for pregnancy Medicaid in West Virginia?

Apply with West Virginia Department of Human Services, Bureau for Medical Services at wvpath.wv.gov. Count yourself plus each baby you're expecting as your household, and compare your income with the limit for that size. We're not the state agency and can't take applications.

Does West Virginia Medicaid pay for a doula?

West Virginia Medicaid doesn't cover doula care.

Do pregnant women have to meet the new Medicaid work requirements?

Public Law 119-21 (2025) requires states to apply Medicaid work (community engagement) requirements to expansion adults ages 19-64 starting no later than January 1, 2027 (states may start earlier; HHS may grant good-faith exemptions that end by December 31, 2028). People who are pregnant or entitled to postpartum coverage are exempt, as are parents and caretakers of a dependent child 13 or younger.

We're not West Virginia Department of Human Services, Bureau for Medical Services and can't tell you whether you qualify. Apply at wvpath.wv.gov for a decision. Spot something out of date? Tell us and we'll check it against the state's own notice.

Sources

  1. 1.Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level (as of January 2026) KFF State Health Facts. Accessed October 9, 2026.
  2. 2.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes (Table 2, January 2026) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  3. 3.Medicaid Postpartum Coverage Extension Tracker (as of July 15, 2026) KFF. Accessed October 9, 2026.
  4. 4.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations Following the Unwinding (Table 7: Presumptive Eligibility, January 2025) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  5. 5.West Virginia Medicaid: how to apply West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  6. 6.CMS approval of West Virginia State Plan Amendment WV-22-0007 (12-month postpartum coverage), effective 2022-04-01 Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  7. 7.West Virginia Children's Health Insurance Program (WVCHIP) West Virginia CHIP. Accessed October 9, 2026.
  8. 8.Annual Update of the HHS Poverty Guidelines (91 FR 1797, Jan. 15, 2026) U.S. Department of Health and Human Services (Federal Register). Accessed October 9, 2026.
Show all 23 sources
  1. 9.42 CFR 435.603(b), definition of family size eCFR (National Archives). Accessed October 9, 2026.
  2. 10.Public Law 119-21, sec. 71119: Requirement for States to Establish Medicaid Community Engagement Requirements (adds SSA sec. 1902(xx)) U.S. Government Publishing Office. Accessed October 9, 2026.
  3. 11.SHO #26-001: Implementation of Section 71109 "Alien Medicaid Eligibility" (April 8, 2026) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  4. 12.42 CFR 447.56(a)(2)(ii), exemptions from Medicaid cost sharing: pregnancy-related services eCFR / Code of Federal Regulations.
  5. 13.Doula Medicaid Project: state-by-state chart of doula Medicaid efforts (last updated Sep. 2026) National Health Law Program (NHeLP). Accessed October 9, 2026.
  6. 14.State Trends in Medicaid Coverage of Doula Services (published April 1, 2026; data as of March 2026) National Academy for State Health Policy (NASHP). Accessed October 9, 2026.
  7. 15.WV Bureau for Medical Services 2026 Physician Fee Schedule (RBRVS), Rates Effective 04/01/26 - 03/31/27 West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  8. 16.Pregnancy and Women's Health (Wellpoint of West Virginia Medicaid) Wellpoint of West Virginia. Accessed October 9, 2026.
  9. 17.BMS Provider Manual Policy 519.19 Women's Health Services West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  10. 18.BMS Provider Manual Chapter 527 Mountain Health Trust (Managed Care) West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  11. 19.Medicaid Coverage of Pregnancy-Related Services: Findings from a 2021 State Survey KFF. Accessed October 9, 2026.
  12. 20.Appendix 506A: Covered DME Supplies West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  13. 21.Appendix 506C: Non-Covered DMEPOS Supplies West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  14. 22.BMS Provider Manual Chapter 506 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.
  15. 23.Durable Medical Equipment (DME) - Non-Rural Fee Schedule, Effective 04/01/26 - 03/31/27 West Virginia Department of Human Services, Bureau for Medical Services. Accessed October 9, 2026.