West Virginia Medicaid · Updated August 22, 2026

West Virginia Medicaid for Seniors 2026: Nursing Home & Long-Term Care

Income LimitsEligibilityAsset LimitsHow to ApplyRenewalMedicare Savings ProgramsSeniors & Long-Term Care

West Virginia Medicaid pays for nursing home care and, through waiver programs, for care at home and in assisted living. In 2026 the nursing home income cap in West Virginia is $2,901 per month, with an asset limit of $2,000 for a single applicant.

Income cap (single)$2,901per month
Asset limit (single)$2,000
Asset limit (both spouses)$3,000
Look-back period60 months
Income cap = 300% of SSI federal benefit rate (2025: $2,901/mo). Income-cap states require a Miller Trust; confirm

Three ways seniors get Medicaid long-term care

  1. Institutional (nursing home) Medicaid. An entitlement: if you qualify, a bed is covered. Nearly all income goes to the facility except a small personal needs allowance.
  2. Home and Community-Based Services (HCBS) waivers. Pay for in-home aides, adult day care and often assisted living. Enrollment is capped and waiting lists are common.
  3. Aged, blind and disabled (regular) Medicaid. Covers doctor visits and some personal care, with the lower income limit of $1,330 per month.

Spousal protections

When one spouse enters a nursing home the other (the community spouse) may keep a Community Spouse Resource Allowance of up to about $157,920 (2025 federal maximum) and a monthly income allowance of up to about $3,948. These are indexed yearly and some states use the maximum for everyone.

The look-back period and penalties

West Virginia reviews 60 months of financial transfers. Gifts or below-market sales during that window create a penalty period during which Medicaid will not pay for care, calculated by dividing the transferred amount by the state's average monthly nursing home cost. Planning well in advance, or using exempt transfers to a spouse or disabled child, avoids penalties.

Frequently asked questions

What is the income limit for nursing home Medicaid in West Virginia?
$2,901 per month in 2026, which is 300% of the SSI federal benefit rate. Applicants over this amount in income-cap states can still qualify by placing excess income in a Qualified Income (Miller) Trust.
Will Medicaid take my house in West Virginia?
Not while you, a spouse or a dependent lives there. After death, estate recovery can claim the home unless a surviving spouse, minor or disabled child, or qualifying sibling or caregiver child lives in it.
How long is the Medicaid look-back period in West Virginia?
60 months for nursing home and HCBS waiver applications.
Does West Virginia Medicaid pay for assisted living?
Through HCBS waivers it can pay for care services in assisted living, though usually not room and board. Availability depends on waiver slots.

Sources

Limits are calculated from the federal poverty guidelines using the percentage West Virginia applies to each group, and rounded to the nearest dollar. Your state agency makes the final determination.