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West Virginia의 Medicaid: 신청 가능한 항목 안내

🔎 영주권(그린카드)에 영향을 주나요?

Regular Medicaid does NOT count in the public charge test — receiving it does not affect your green card or immigration application. 자세히 보기

🌐 한국어 콘텐츠는 번역 중이며, 일부 내용은 현재 영어로 표시됩니다.

어떤 제도인가요

Public health insurance for low-income people, jointly funded by the federal and state governments. It covers doctor visits, hospital care, prescriptions, pregnancy, and children's care. States run it under federal rules, and each state has its own name and details (California calls it Medi-Cal).

West Virginia Medicaid — eligibility is determined by the Department of Human Services (DoHS), while medical policy is set by the Bureau for Medical Services (BMS). 🌟 Apply through WV PATH (wvpath.wv.gov, "People's Access To Help"), one door that takes Medicaid, WVCHIP, SNAP and LIEAP in a single application; or call 1-877-716-1212, go to your county DoHS office in person, or apply through healthcare.gov (1-800-318-2596). 🌟 People receiving SSI are automatically eligible for Medicaid.

누가 해당될 수 있나요

소득 기준

  • Adults 19-64 (the Adult Group — Medicaid expansion)133% FPL🌟 West Virginia is a Medicaid expansion state — the WV Income Maintenance Manual, Chapter 16, section 16.5 part F, "ADULT GROUP", states it verbatim as Income: 133% FPL, Assets: N/A, meaning no asset test. The manual cites the Affordable Care Act as the basis. 🔴🔴 We deliberately publish no dollar figure on this row, and the reason matters: both income appendices in West Virginia's own policy manual are out of date, and not by a little. We verified it by working backwards from the one-person 100% FPL monthly figure in each: the appendix on the policy-manual path uses the 2017 poverty guideline ($1,005 a month), and the newer-format one uses the 2020 guideline ($1,064 a month), while the 2025 one-person 100% figure is about $1,304 a month. Publishing either as current would tell people who actually qualify that they are over the line — exactly the error this site exists to avoid. Use the WV PATH online screening, or call 1-877-716-1212 for the current amount. The percentage itself (133%) changes rarely and is a fair guide; what it converts to in dollars should come from DoHS as of today.
    출처:West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인

    공식 문서 원문 발췌

    F. ADULT GROUP Income: 133% FPL Assets: N/A. The Patient Protection and Affordable Care Act, enacted March 2010 ...

    WV Income Maintenance Manual, Chapter 16 "Specific Medicaid Requirements", section 16.5 "CATEGORICALLY NEEDY, MANDATORY - FOR ADULTS, FAMILIES AND/OR CHILDREN" (revision date 10/13). Coverage groups and income tests quoted verbatim: "C. TRANSITIONAL MEDICAID (TM) ... Phase II - 185% FPL"; "D. CHILDREN UNDER AGE 19 Income: Children < 1 158% FPL Assets: N/A Children 1-5 141% FPL Children 6 – 19 108% FPL"; "E. PREGNANT WOMEN Income: 158% FPL Assets: N/A"; "F. ADULT GROUP Income: 133% FPL Assets: N/A" with the Patient Protection and Affordable Care Act cited as the basis. The section notes that "No Categorically Needy coverage group is subject to a spenddown".

    공식 문서 보기
  • Pregnant women (the Pregnant Women coverage group)158% FPLThe WV Income Maintenance Manual, section 16.5 part E, "PREGNANT WOMEN", states it verbatim as Income: 158% FPL, Assets: N/A — no asset test. 🌟 That line is markedly wider than the 133% for the adult group, which means someone turned away from adult Medicaid on income should be re-assessed once pregnant rather than assuming last time's answer still holds. 🌟🌟 And read this together with the status section of this page: pregnant women are measured against the broader "lawfully present" test rather than the qualified alien test — in the manual's own example, a pregnant woman on a valid student visa was approved for pregnancy Medicaid. 🔴 No dollar figure is published here, for the same reason as the adult group: West Virginia's two income appendices sit on the 2017 and 2020 poverty guidelines. Use WV PATH screening or call 1-877-716-1212.
    출처:West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인

    공식 문서 원문 발췌

    E. PREGNANT WOMEN Income: 158% FPL Assets: N/A

    WV Income Maintenance Manual, Chapter 16 "Specific Medicaid Requirements", section 16.5 "CATEGORICALLY NEEDY, MANDATORY - FOR ADULTS, FAMILIES AND/OR CHILDREN" (revision date 10/13). Coverage groups and income tests quoted verbatim: "C. TRANSITIONAL MEDICAID (TM) ... Phase II - 185% FPL"; "D. CHILDREN UNDER AGE 19 Income: Children < 1 158% FPL Assets: N/A Children 1-5 141% FPL Children 6 – 19 108% FPL"; "E. PREGNANT WOMEN Income: 158% FPL Assets: N/A"; "F. ADULT GROUP Income: 133% FPL Assets: N/A" with the Patient Protection and Affordable Care Act cited as the basis. The section notes that "No Categorically Needy coverage group is subject to a spenddown".

    공식 문서 보기
  • Children under 19 (three age bands)141% FPLThe WV Income Maintenance Manual, section 16.5 part D, "CHILDREN UNDER AGE 19", sets three bands verbatim: children under 1 at 158% FPL; children 1-5 at 141% FPL; children 6-19 at 108% FPL; with Assets: N/A, meaning no asset test. The manual notes that the Affordable Care Act simplified the older categories by combining them. 🔴🔴 There is an internal mismatch between official sources here, and we report it rather than resolve it: the 108% figure for children aged 6-19 has no corresponding column in West Virginia's own income limits appendix. That appendix's percentage columns run 100/120/133/141/150/158/185/200/211/220/250/300/325 — there is no 108% among them — while every other band above (133, 141, 158, 185) maps onto a column exactly. Together with the fact that section 16.5 carries a revision date of October 2013, we cannot confirm that the 108% band is still current. 🔴 Please do not sentence yourself with it. A family with a child over 6 whose income falls between 108% and 133% especially should ask rather than give up: WV PATH online screening, or 1-877-716-1212. 🌟 Two things that matter just as much: first, a child who does not qualify for Medicaid may still qualify for WVCHIP, a separate programme with a wider line whose income chart is current for 2026 — see this site's WVCHIP row; and second, read this with the status section of this page: children aged 18 and under are measured against the broader "lawfully present" test, and in the manual's own example three children listed on their father's student visa were eligible for children's Medicaid while the father himself could only get emergency Medicaid. An adult not qualifying does not mean the children do not. 🔴 No dollar figures here, for the reason given under the adult group: West Virginia's two income appendices sit on the 2017 and 2020 poverty guidelines.
    출처:West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인

    공식 문서 원문 발췌

    D. CHILDREN UNDER AGE 19 Income: Children < 1 158% FPL Assets: N/A Children 1-5 141% FPL Children 6 – 19 108% FPL

    WV Income Maintenance Manual, Chapter 16 "Specific Medicaid Requirements", section 16.5 "CATEGORICALLY NEEDY, MANDATORY - FOR ADULTS, FAMILIES AND/OR CHILDREN" (revision date 10/13). Coverage groups and income tests quoted verbatim: "C. TRANSITIONAL MEDICAID (TM) ... Phase II - 185% FPL"; "D. CHILDREN UNDER AGE 19 Income: Children < 1 158% FPL Assets: N/A Children 1-5 141% FPL Children 6 – 19 108% FPL"; "E. PREGNANT WOMEN Income: 158% FPL Assets: N/A"; "F. ADULT GROUP Income: 133% FPL Assets: N/A" with the Patient Protection and Affordable Care Act cited as the basis. The section notes that "No Categorically Needy coverage group is subject to a spenddown".

    공식 문서 보기

이 주(State)의 이민 신분 관련 규정

🌟🌟 West Virginia made a choice here that many states did not, and its own policy manual sets it out in unusual detail. Read this through. First layer: ordinary Medicaid runs on the qualified alien test. The categories listed in the WV Income Maintenance Manual, Chapter 18, section 18.4 part C include: a person lawfully admitted for permanent residence under the Immigration and Nationality Act before August 22, 1996; a person granted asylum under INA section 208, eligible for 7 years from entry; a refugee admitted under INA section 207, including immigrants certified by the U.S. Department of Health and Human Services as victims of a severe form of trafficking, eligible for 7 years from entry; a person whose deportation is withheld under INA section 243(h), eligible for 7 years from the date of that status; Amerasian immigrants and Cuban or Haitian entrants who entered within the last 5 years, with participation limited to 7 years from entry; honorably discharged veterans, people on active duty, and their spouses and unmarried dependent children; and a person lawfully admitted for permanent residence on or after August 22, 1996 who has been a qualified alien for more than 5 years. 🌟 The manual separately lists battered spouses and battered children, and notes that the non-abusive parent of a battered child, and the child of a battered parent, may also be eligible. 🌟🌟 Second layer, and the one most worth knowing in this state: pregnant women and children aged 18 and under are measured against the broader "lawfully present" test, not the qualified alien test. Section 18.4 C.2.B provides that lawfully present pregnant women and children aged 18 and under who meet the state residency requirements in Chapter 8 and are otherwise financially eligible may qualify for Medicaid. The manual then spells out what lawfully present means, and the list is long: a qualified non-citizen as defined in 8 U.S.C. 1641(b) and (c); a non-citizen in a valid nonimmigrant status under 8 U.S.C. 1101(a)(15); someone paroled under 1182(d)(5) for less than one year, except parole for prosecution, deferred inspection or pending removal proceedings; someone granted temporary resident status under 1160 or 1255a; someone granted Temporary Protected Status, and someone with a pending TPS application who has been granted employment authorization; someone granted employment authorization under 8 CFR 274a.12(c); Family Unity beneficiaries; people under Deferred Enforced Departure; people granted deferred action; people granted an administrative stay of removal; the beneficiary of an approved visa petition with a pending application for adjustment of status; someone with a pending application for asylum, or for withholding of removal, or under the Convention Against Torture, who has been granted employment authorization or is under 14 with an application pending at least 180 days; someone granted withholding of removal under the Convention Against Torture; a child with a pending application for Special Immigrant Juvenile status; someone lawfully present in American Samoa; and a victim of severe trafficking in persons. 🔴 The same provision states an exception that has to be reported plainly: a person with deferred action under the Department of Homeland Security's Deferred Action for Childhood Arrivals process shall not be considered lawfully present for any of those categories. 🌟🌟 The manual gives two worked examples of its own, clearer than any paraphrase, so here they are as written: · First: a 23-year-old student attending Marshall University on a valid student visa becomes pregnant and applies for pregnancy Medicaid, and is financially eligible. The manual's conclusion: she is lawfully present and intends to reside in West Virginia, and since she is also financially eligible she would be approved for pregnancy Medicaid. · Second: a 23-year-old student on a student visa has his three children listed on the visa, and household monthly income is under 138% of the federal poverty level. The manual's conclusion: he himself would only be eligible for emergency Medicaid, because he meets neither the pregnant-women nor the children-18-and-under category — but his children would be eligible for children's Medicaid, as they are lawfully present and intend to reside in West Virginia. 🌟 Taken together those two examples make one point: within a family, an adult not qualifying does not mean the children do not. The children's side has to be looked at on its own. 🌟 Third layer: emergency Medicaid. Section 18.9 provides that a person who is not a qualified alien is eligible for Medicaid only in emergency situations, and must still meet every other eligibility requirement of the Medicaid group applied for. Two sentences there matter especially: "Aliens must provide their SSN(s), if one is available, but must not be required to apply for an SSN" — give the number if you have one, and you must not be made to apply for one if you do not; and pregnant women facing imminent delivery or related problems are evaluated using Medicaid guidelines for all programs, with the unborn child considered as a child in the home. 🔴 The limits are stated just as plainly: emergency services do not cover organ transplant procedures and do not cover routine prenatal or post partum care; what is covered is a condition of sudden onset with acute symptoms of sufficient severity, including severe pain and including emergency labor and delivery, such that without immediate attention it could reasonably be expected to place health in serious jeopardy, seriously impair bodily functions, or seriously affect any bodily organ or part; and ongoing emergency medical care must be approved by DFA before benefits continue. 🌟 One uncommon but real route: section 18.2 provides that an American Indian born in Canada who is of at least one-half American Indian blood may freely enter and reside in the United States and is considered lawfully admitted for permanent residence, and so is a qualified alien. It does not extend to that person's spouse or child, nor to membership in a tribe or family created by adoption unless that person is also of fifty percent or more Indian blood. Accepted proof of bloodline: a birth or baptismal certificate issued on a reservation, tribal records, a letter from the Canadian Department of Indian Affairs, or school records. 🔴🔴 A timestamp and a limit that must be stated: the manual sections quoted above carry revision dates between 2006 and 2016 — 18.4 is October 2016, 18.9 is October 2013, 18.2 is July 2006. They were therefore written before the public charge rule that took effect on December 23, 2022. We quote them faithfully as West Virginia's own policy text, but that does not mean every sentence in them is still current today. For a decision about you, rely on DoHS's answer now, and get that answer in writing (1-877-716-1212).

신청 방법

필요한 서류

🌟 One door does several things: WV PATH (wvpath.wv.gov, "People's Access To Help") takes Medicaid, WVCHIP, SNAP, LIEAP and the School Clothing Allowance in a single application — if you are filling in a form anyway, tick everything that applies rather than making several separate trips. Other routes: 1-877-716-1212 for questions, to report a change, or to apply for some types; your county DoHS office in person; or healthcare.gov (1-800-318-2596). Bring proof of identity and birth, proof of a West Virginia address, proof of household income, and immigration documents where applicable. 🔴 Two things about documents are written into the manual and worth knowing first: in emergency Medicaid situations, aliens must provide an SSN if one is available but must not be required to apply for one; and in ordinary Medicaid, applicants whose documents raise a question about their alien status must provide documentation of citizen or alien status before eligibility can be determined — so rather than being sent back, ask at the point of applying exactly which documents are needed, and get that list in writing. 🌟 If you are pregnant, or there is a child aged 18 or under in the household, read the status section of this page before you fill anything in — the test that applies to you may be the wider "lawfully present" one rather than the qualified alien one, and the manual's own two examples are set out there.

소요 기간

🌟 One timing rule is worth knowing first: people receiving SSI are automatically eligible for Medicaid — if you are on SSI, do not treat these as two separate applications. 🔴 Emergency Medicaid runs on a different kind of clock from everything else here: it is not approved for a year and then drawn on, it follows the emergency itself. The manual specifies a condition of sudden onset with acute symptoms, and provides that ongoing emergency medical care must be approved by DFA before benefits continue. So when an emergency happens, go to hospital — do not phone first to ask whether it will be covered. Sort the coverage afterwards, but get the application in as soon as you can rather than long after discharge. 🔴 We did not find a published statutory processing deadline for West Virginia Medicaid applications, nor a current processing time. Not finding it does not mean there is none — when you submit, ask the worker directly how long a decision usually takes and when you should follow up, and write the answer down.

공식 신청 페이지로 이동

WV PATH — the official application portal (Medicaid, WVCHIP, SNAP and LIEAP in one form)

영주권에 영향을 주나요? (공적부조 Public Charge)

Regular Medicaid does NOT count in the public charge test — receiving it does not affect your green card or immigration application.

⚠️ The one exception: Medicaid that pays for long-term institutional care (a long-term stay in a nursing facility or mental-health institution at government expense) DOES count. Everyday doctor visits, hospital care, prescriptions, and home- and community-based care are not this exception.

Because the current rule excludes all non-institutional Medicaid, Medicaid for children, pregnancy, and emergencies also does not count. In mixed-status families, eligible citizen or qualified children can safely get the care they qualify for.

Public charge is assessed only for people applying for an immigrant visa abroad, or applying for adjustment of status (a green card) inside the United States.

Many categories are exempt by law: refugees, asylees, VAWA self-petitioners, T and U visa applicants, Temporary Protected Status (TPS), Special Immigrant Juveniles (SIJ), Cuban/Haitian entrants, and others.

Public charge is generally not assessed when a green-card holder renews their card or naturalizes; a returning green-card holder is assessed only in limited cases (for example, an absence of more than 180 days).

This is information only, not immigration, legal, or tax advice. Public charge and your personal status are complex — consult a licensed immigration attorney. We never tell you whether you "will" or "won't" be affected.

USCIS Policy Manual, Volume 8, Part G, Chapter 7 (benefits considered) and Chapter 3 (who it applies to) — 8 USCIS-PM G.7 / G.3; regulation 8 CFR 212.21–212.23; 2022 final rule 87 FR 55472. · 2022-12-23

자주 묻는 질문

Medicaid 프로그램이란 무엇인가요?

Public health insurance for low-income people, jointly funded by the federal and state governments. It covers doctor visits, hospital care, prescriptions, pregnancy, and children's care. States run it under federal rules, and each state has its own name and details (California calls it Medi-Cal).

West Virginia에서 Medicaid 신청은 누가 할 수 있나요?

일반적으로, Adults 19-64 (the Adult Group — Medicaid expansion): ≤ 133% FPL; Pregnant women (the Pregnant Women coverage group): ≤ 158% FPL; Children under 19 (three age bands): ≤ 141% FPL. 최종 결정은 담당 기관이 합니다.

시민권자가 아니거나 체류 신분이 없어도 Medicaid 신청이 가능한가요?

🌟🌟 West Virginia made a choice here that many states did not, and its own policy manual sets it out in unusual detail. Read this through. First layer: ordinary Medicaid runs on the qualified alien test. The categories listed in the WV Income Maintenance Manual, Chapter 18, section 18.4 part C include: a person lawfully admitted for permanent residence under the Immigration and Nationality Act before August 22, 1996; a person granted asylum under INA section 208, eligible for 7 years from entry; a refugee admitted under INA section 207, including immigrants certified by the U.S. Department of Health and Human Services as victims of a severe form of trafficking, eligible for 7 years from entry; a person whose deportation is withheld under INA section 243(h), eligible for 7 years from the date of that status; Amerasian immigrants and Cuban or Haitian entrants who entered within the last 5 years, with participation limited to 7 years from entry; honorably discharged veterans, people on active duty, and their spouses and unmarried dependent children; and a person lawfully admitted for permanent residence on or after August 22, 1996 who has been a qualified alien for more than 5 years. 🌟 The manual separately lists battered spouses and battered children, and notes that the non-abusive parent of a battered child, and the child of a battered parent, may also be eligible. 🌟🌟 Second layer, and the one most worth knowing in this state: pregnant women and children aged 18 and under are measured against the broader "lawfully present" test, not the qualified alien test. Section 18.4 C.2.B provides that lawfully present pregnant women and children aged 18 and under who meet the state residency requirements in Chapter 8 and are otherwise financially eligible may qualify for Medicaid. The manual then spells out what lawfully present means, and the list is long: a qualified non-citizen as defined in 8 U.S.C. 1641(b) and (c); a non-citizen in a valid nonimmigrant status under 8 U.S.C. 1101(a)(15); someone paroled under 1182(d)(5) for less than one year, except parole for prosecution, deferred inspection or pending removal proceedings; someone granted temporary resident status under 1160 or 1255a; someone granted Temporary Protected Status, and someone with a pending TPS application who has been granted employment authorization; someone granted employment authorization under 8 CFR 274a.12(c); Family Unity beneficiaries; people under Deferred Enforced Departure; people granted deferred action; people granted an administrative stay of removal; the beneficiary of an approved visa petition with a pending application for adjustment of status; someone with a pending application for asylum, or for withholding of removal, or under the Convention Against Torture, who has been granted employment authorization or is under 14 with an application pending at least 180 days; someone granted withholding of removal under the Convention Against Torture; a child with a pending application for Special Immigrant Juvenile status; someone lawfully present in American Samoa; and a victim of severe trafficking in persons. 🔴 The same provision states an exception that has to be reported plainly: a person with deferred action under the Department of Homeland Security's Deferred Action for Childhood Arrivals process shall not be considered lawfully present for any of those categories. 🌟🌟 The manual gives two worked examples of its own, clearer than any paraphrase, so here they are as written: · First: a 23-year-old student attending Marshall University on a valid student visa becomes pregnant and applies for pregnancy Medicaid, and is financially eligible. The manual's conclusion: she is lawfully present and intends to reside in West Virginia, and since she is also financially eligible she would be approved for pregnancy Medicaid. · Second: a 23-year-old student on a student visa has his three children listed on the visa, and household monthly income is under 138% of the federal poverty level. The manual's conclusion: he himself would only be eligible for emergency Medicaid, because he meets neither the pregnant-women nor the children-18-and-under category — but his children would be eligible for children's Medicaid, as they are lawfully present and intend to reside in West Virginia. 🌟 Taken together those two examples make one point: within a family, an adult not qualifying does not mean the children do not. The children's side has to be looked at on its own. 🌟 Third layer: emergency Medicaid. Section 18.9 provides that a person who is not a qualified alien is eligible for Medicaid only in emergency situations, and must still meet every other eligibility requirement of the Medicaid group applied for. Two sentences there matter especially: "Aliens must provide their SSN(s), if one is available, but must not be required to apply for an SSN" — give the number if you have one, and you must not be made to apply for one if you do not; and pregnant women facing imminent delivery or related problems are evaluated using Medicaid guidelines for all programs, with the unborn child considered as a child in the home. 🔴 The limits are stated just as plainly: emergency services do not cover organ transplant procedures and do not cover routine prenatal or post partum care; what is covered is a condition of sudden onset with acute symptoms of sufficient severity, including severe pain and including emergency labor and delivery, such that without immediate attention it could reasonably be expected to place health in serious jeopardy, seriously impair bodily functions, or seriously affect any bodily organ or part; and ongoing emergency medical care must be approved by DFA before benefits continue. 🌟 One uncommon but real route: section 18.2 provides that an American Indian born in Canada who is of at least one-half American Indian blood may freely enter and reside in the United States and is considered lawfully admitted for permanent residence, and so is a qualified alien. It does not extend to that person's spouse or child, nor to membership in a tribe or family created by adoption unless that person is also of fifty percent or more Indian blood. Accepted proof of bloodline: a birth or baptismal certificate issued on a reservation, tribal records, a letter from the Canadian Department of Indian Affairs, or school records. 🔴🔴 A timestamp and a limit that must be stated: the manual sections quoted above carry revision dates between 2006 and 2016 — 18.4 is October 2016, 18.9 is October 2013, 18.2 is July 2006. They were therefore written before the public charge rule that took effect on December 23, 2022. We quote them faithfully as West Virginia's own policy text, but that does not mean every sentence in them is still current today. For a decision about you, rely on DoHS's answer now, and get that answer in writing (1-877-716-1212). Federal Medicaid generally requires a "qualified" immigration status, and most people must wait five years after getting that status (the "five-year bar") before applying. Refugees, asylees, and certain others are exempt from the five-year wait; emergency Medicaid is available regardless of status. Some states (such as California) use state funds to cover more people — see your state's details. 🔴 The 2025 federal law OBBBA (H.R.1, Public Law 119-21, enacted July 4, 2025) significantly narrows eligibility: effective Oct 1, 2026 (Section 71109), federal Medicaid/CHIP funding is limited to four groups — U.S. citizens/nationals, lawful permanent residents (LPRs), Cuban/Haitian entrants, and COFA migrants (Micronesia/Marshall Islands/Palau). Refugees, asylees, trafficking victims, parolees, and other "qualified aliens" who are not yet LPRs lose federal eligibility (refugees/asylees can generally regain it after becoming LPRs). Emergency Medicaid remains available regardless of status (though Section 71110 lowers its federal match to the regular FMAP effective Oct 1, 2026 — this does not change its availability); the state options for lawfully-residing children and pregnant women are preserved. Section 71119 adds community-engagement (work) requirements for ACA-expansion adults (19-64) effective Dec 31, 2026 (or sooner at state option) — at least 80 hours/month, with exemptions for pregnant/postpartum people, the medically frail, caretakers of a child under 14, and others. This is a changing area — check the latest official guidance. 최종 결정은 담당 기관이 합니다.

Medicaid 신청이 그린카드에 영향을 주나요?

Regular Medicaid does NOT count in the public charge test — receiving it does not affect your green card or immigration application. The one exception: Medicaid that pays for long-term institutional care (a long-term stay in a nursing facility or mental-health institution at government expense) DOES count. Everyday doctor visits, hospital care, prescriptions, and home- and community-based care are not this exception. Many categories are exempt by law: refugees, asylees, VAWA self-petitioners, T and U visa applicants, Temporary Protected Status (TPS), Special Immigrant Juveniles (SIJ), Cuban/Haitian entrants, and others. This is information only, not immigration, legal, or tax advice. Public charge and your personal status are complex — consult a licensed immigration attorney. We never tell you whether you "will" or "won't" be affected.

West Virginia에서 Medicaid 신청은 어떻게 하나요?

🌟 One door does several things: WV PATH (wvpath.wv.gov, "People's Access To Help") takes Medicaid, WVCHIP, SNAP, LIEAP and the School Clothing Allowance in a single application — if you are filling in a form anyway, tick everything that applies rather than making several separate trips. Other routes: 1-877-716-1212 for questions, to report a change, or to apply for some types; your county DoHS office in person; or healthcare.gov (1-800-318-2596). Bring proof of identity and birth, proof of a West Virginia address, proof of household income, and immigration documents where applicable. 🔴 Two things about documents are written into the manual and worth knowing first: in emergency Medicaid situations, aliens must provide an SSN if one is available but must not be required to apply for one; and in ordinary Medicaid, applicants whose documents raise a question about their alien status must provide documentation of citizen or alien status before eligibility can be determined — so rather than being sent back, ask at the point of applying exactly which documents are needed, and get that list in writing. 🌟 If you are pregnant, or there is a child aged 18 or under in the household, read the status section of this page before you fill anything in — the test that applies to you may be the wider "lawfully present" one rather than the qualified alien one, and the manual's own two examples are set out there. 🌟 One timing rule is worth knowing first: people receiving SSI are automatically eligible for Medicaid — if you are on SSI, do not treat these as two separate applications. 🔴 Emergency Medicaid runs on a different kind of clock from everything else here: it is not approved for a year and then drawn on, it follows the emergency itself. The manual specifies a condition of sudden onset with acute symptoms, and provides that ongoing emergency medical care must be approved by DFA before benefits continue. So when an emergency happens, go to hospital — do not phone first to ask whether it will be covered. Sort the coverage afterwards, but get the application in as soon as you can rather than long after discharge. 🔴 We did not find a published statutory processing deadline for West Virginia Medicaid applications, nor a current processing time. Not finding it does not mean there is none — when you submit, ask the worker directly how long a decision usually takes and when you should follow up, and write the answer down. 정책은 변경될 수 있으니, 항상 최신 공식 정보를 확인하십시오. https://www.wvpath.wv.gov/

공식 출처

  1. WV Income Maintenance Manual, Chapter 18 "Aliens, Refugees and Citizenship", section 18.4 (revision date 10/16), part C MEDICAID. C.2.A lists eligible (qualified) aliens: lawfully admitted for permanent residence under the INA and admitted before August 22, 1996; granted asylum under INA section 208, "eligible for 7 years from entry to United States"; a refugee admitted under INA section 207 "including immigrants who have been certified by the U.S. Department of Health and Human Services to be victims of a severe form of trafficking in persons in accordance with the victims of Trafficking and Violence Protection Act of 2000 (P.L.106-386) eligible for 7 years from entry"; deportation withheld under INA section 243(h), eligible for 7 years from date of status; Amerasian immigrants and Cuban or Haitian entrants who entered within the last 5 years, participation limited to 7 years from entry; "Honorably discharged veterans, their spouses, and unmarried dependent children"; active duty service members and their spouses and unmarried dependent children; an alien lawfully admitted on or after August 22, 1996 "and has been a qualified alien for more than 5 years"; and battered spouses or battered children, with the non-abusive parent of a battered child and the child of a battered parent also possibly eligible. C.2.B: "Lawfully present pregnant women and children age 18 and under, who meet the State residency requirements in Chapter 8, and who are otherwise financially eligible, may qualify for Medicaid," followed by a ten-item definition of lawfully present covering qualified non-citizens under 8 U.S.C. 1641(b) and (c); valid nonimmigrant status under 8 U.S.C. 1101(a)(15); parole under 8 U.S.C. 1182(d)(5) for less than one year with exceptions; temporary resident status under 8 U.S.C. 1160 or 1255a; Temporary Protected Status and pending TPS applicants granted employment authorization; employment authorization under 8 CFR 274a.12(c); Family Unity beneficiaries; Deferred Enforced Departure; granted deferred action; administrative stay of removal under 8 CFR 241; beneficiary of an approved visa petition with a pending adjustment application; pending asylum, withholding of removal or Convention Against Torture applicants with employment authorization or under age 14 with an application pending at least 180 days; withholding of removal under the Convention Against Torture; a child with a pending Special Immigrant Juvenile application; lawful presence in American Samoa; and victims of severe trafficking. 🔴 Item 10 states the exception: "An individual with deferred action under the Department of Homeland Security's deferred action for the childhood arrivals process ... shall not be considered to be lawfully present with respect to any of the above categories." The section also carries two worked EXAMPLES: a 23-year-old pregnant student on a valid student visa who "would be approved for pregnancy Medicaid", and a 23-year-old student on a student visa with three children listed on the visa who "would only be eligible for emergency Medicaid" while "his children would be eligible for children's Medicaid as they are here lawfully present and intend to reside in W[V]".

    West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인 · 문서 시행일 2016-10-01

  2. WV Income Maintenance Manual, Chapter 18, section 18.9 "EMERGENCY MEDICAID FOR ILLEGAL/INELIGIBLE ALIENS" (revision date 10/13). "Any alien who is not a Qualified Alien is not eligible for Medicaid except in emergency situations." "To be eligible for emergency services, an alien must meet all eligibility requirements of the Medicaid group for which they are applying. ... Pregnant alien women facing imminent delivery or other related problems are evaluated using Medicaid guidelines for all programs. The unborn child is considered as a child in the home." "NOTE: Aliens must provide their SSN(s), if one is available, but must not be required to apply for an SSN." "Care and services are necessary for the treatment of an emergency medical condition of the alien provided such care and services are not related to either an organ transplant procedure or routine prenatal or post partum care." The condition must be of sudden onset with acute symptoms of sufficient severity, including severe pain and including emergency labor and delivery, such that absence of immediate attention could reasonably be expected to place health in serious jeopardy, seriously impair bodily functions, or cause serious dysfunction of any bodily organ or part. "NOTE: If an alien is in need of ongoing emergency medical this must be approved by DFA prior to the continuation of medical benefits."

    West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인 · 문서 시행일 2013-10-01

  3. WV Income Maintenance Manual, Chapter 18, section 18.2 "CITIZENSHIP AND ALIENS" (revision date 7/06). Sets the qualified/non-qualified alien framework: "Eligibility for aliens is based on whether the alien is a qualified or non-qualified alien. Regardless of whether the alien entered the United States on or after August 22, 1996 ... The previous categories of lawful permanent residents and aliens permanently residing under color of law (PRUCOL) no longer apply." Defines qualified alien as including lawful permanent residents under the INA and certain refugees, asylees, individuals whose deportation has been withheld, Cuban or Haitian entrants and Amerasians, plus certain paroled aliens, conditional entrants, and battered spouses and children. On American Indians born in Canada: "An American Indian born in Canada may freely enter and reside in the United States and is considered to be lawfully admitted for permanent residence if he is of at least one-half American Indian blood. As such he is a qualified alien. This does not include a spouse or child of such an Indian nor a noncitizen whose membership in an Indian tribe or family is created by adoption, unless such person is of at least fifty percent or more Indian blood." Accepted proof of bloodline: birth or baptismal certificate issued on a reservation; tribal records; letter from the Canadian Department of Indian Affairs; school records.

    West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인 · 문서 시행일 2006-07-01

  4. WV Income Maintenance Manual, Chapter 16 "Specific Medicaid Requirements", section 16.5 "CATEGORICALLY NEEDY, MANDATORY - FOR ADULTS, FAMILIES AND/OR CHILDREN" (revision date 10/13). Coverage groups and income tests quoted verbatim: "C. TRANSITIONAL MEDICAID (TM) ... Phase II - 185% FPL"; "D. CHILDREN UNDER AGE 19 Income: Children < 1 158% FPL Assets: N/A Children 1-5 141% FPL Children 6 – 19 108% FPL"; "E. PREGNANT WOMEN Income: 158% FPL Assets: N/A"; "F. ADULT GROUP Income: 133% FPL Assets: N/A" with the Patient Protection and Affordable Care Act cited as the basis. The section notes that "No Categorically Needy coverage group is subject to a spenddown".

    West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인 · 문서 시행일 2013-10-01

  5. WV Income Maintenance Manual, Chapter 10 "Income Limits", APPENDIX A — the income-limit table referenced by the Medicaid coverage groups. 🔴 Recorded as a currency finding, not as a source of current dollar amounts: the table's one-person 100% FPL figure is $1,005 per month, which is exactly the 2017 federal poverty guideline for one person ($12,060 a year divided by 12), so this appendix has not been updated since 2017. A second, newer-format copy of the same appendix published under the department's IMMDocuments path as "Chapter 4 – Income, Appendix A" (https://dhhr.wv.gov/bcf/Services/familyassistance/IMMDocuments/788/ch_4_apa.pdf) shows a one-person 100% FPL figure of $1,064, which corresponds to the 2020 guideline ($12,760 a year). For reference, the 2025 one-person guideline is $15,650 a year, about $1,304 a month. The appendix's percentage columns are 100/120/133/141/150/158/185/200/211/220/250/300/325 — note that no 108% column exists, although section 16.5 states 108% FPL for children aged 6-19.

    West Virginia Department of Human Services (Bureau for Family Assistance) · 2026-07-31 확인 · 이 문서에는 시행일이 명시되어 있지 않습니다

  6. Applying for Healthcare — West Virginia Bureau for Medical Services. Lists the application routes: WV PATH, described as where you can "apply for DoHS assistance programs online including SNAP, WVCHIP and Medicaid" and "the recommended method of application for most types of Healthcare"; the Health Insurance Marketplace at healthcare.gov with helpline 1-800-318-2596; local county DoHS offices in person; and the customer service hotline "1-877-716-1212 for questions, guidance, to report a change in your situation or to apply for some types of Medicaid and WVCHIP". States that "Each type of Medicaid has its own specific eligibility guidelines" and notes automatic eligibility for those receiving Supplemental Security Income. 🔴 Recorded as a negative finding: the page publishes no income limits, no coverage-group thresholds, no citizenship or immigration status wording, and no processing deadline.

    West Virginia Bureau for Medical Services · 2026-07-31 확인 · 이 문서에는 시행일이 명시되어 있지 않습니다

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최종 확인: 2026-07-31

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