Publications

​​​Guide to Medicai​d 2​0​25, Effective April 1, 2025 - Provides applicants and members with general information regarding Medicaid services and Programs.

Medicaid 101 Substance Use Disorder Waiver - Provides an overview of Substance Use Disorders Waiver program and services.

Medicaid 101: 2021 E​dition - Provides an overview of the West Virginia Medicaid program. 

Medicaid 101: 2020 Edition - Provides an overview of the West Virginia Medicaid program.

Medicai​d 101 - Specialized Managed Care for Children and Youth Waiver​

Medicaid 101 - Provides an overview of the West Virginia Medicaid program.​ 

Medicaid 101: Healthcare Indicators fro​m the Covid-19 Pandemic

​Data Analytics and Decis​ion Support (DADS) County Profiles - The West Virginia University Health Affairs Institute​'s ​Analysis of Medicaid enrollment for each of West Virginia’s 55 counties. 


West Virginia University Health Affairs Institute Peer Review and Research

Association of Polysubstance Use Disorder with Treatment Quality Among Medicaid Beneficiaries with Opioid Use Disorder (OUD)

Design, Implementation and Evolution of the Medicaid Outcomes Distributed Research Network (MODRN) 

Duration of Medication Treatment for OUD and Risk of Overdose Among Medicaid​ Enrollees in 11 States: A Retrospective Cohort Study

Follow-Up After ED Visits for OUD: Do They Reduce Future Overdoses? 

Healthcare Patterns of Pregnant Women and Children Affected by OUD in 9-State Medicaid Populations

Innovative Solutions for State Medicaid Programs to Leverage Their Data, Build Their Analytic Capacity and Create Evidence-Based Policy

Outpatient Follow-Up and Use of Medications for OUD After Residential Treatment Among Medicaid Enrollees in 10 States

Postpartum Follow-Up Care for Pregnant Persons with OUD and Hepatitis C Virus Infection

Prevalence of Testing for Human Immunodeficiency Virus, Hepatitis B Virus and Hepatitis C Virus Among Medicaid Enrollees Treated with Medications for OUD in 11 States, 2016-2019 

Use of Medications for Treatment of OUD Among US Medicaid Enrollees in 11 States, 2014-2018 


West Virginia University Health Affairs Institute​ COVID-19 Briefs

Behavioral Health During COVID-19 

Emergency Transportation During COVID-19 

Home and Community-Based Services During COVID​-19 

Long-Term C​are Services ​During COVID-19 

Pharmacy Servic​es During COVID-19 

Telehealth During ​COVI​D-19 


Work Groups

Nursing Home Rate Project

Senate B​​ill 419 Advisory Committee​​


​Brochures​

West Virginia Medicaid General Information and Programs

Abuse Reporting - Provides guidelines on how to report abuse, neglect and exploitation of members in the Aged and Disabled Waiver and

Personal Care program. 

Children with Disabilities Co​mmunity Service Program (CDCSP) - Provides general and  eligibility information for those who may qualify fo

this program.

Medicaid Expansion - Provides eligibility information for those who may qualify for Medicaid Expansion. 

Medicaid What Now - Basic information for new Medicaid members.

Medicaid Wo​rk Incentiv​​e Network (M-WIN) - An overview on insurance on options for working individuals with disabi​li​ties. 

Personal Care Services Program - A brief description of the types of services available in the Medicaid Personal Care Program 

Have Med​icare​? You May also Qualify for Medicaid - A brief description of programs which provides assistance to individuals with Medicare

Take M​e Home Transi​tion Program - A brief description of the Take Me Home, WV- Money Follows the Person initiative

WV CARES (WV Clearance for Access, Registry and Employment Screening) - Information regarding the National Background Check Program


​Waiver Programs

Home and Community-Ba​sed Services Rate​ Setting Brief 

West Virginia Legislature Brief:Home and Communty-Based Services Rates 

IDDW ADW TBIW​ Ra​te Report

Aged and Disabled Wa​iver Program (ADW) - A brief description of the services and eligibility information for the ADW program

Children with Se​r​ious Emotional Disorder Waiver (CSEDW)  - Provides a brief description of services and eligibility information for the

CSEDW program.

Intellectual/Developmental Di​sabilities Waiver (IDDW)  - A brief description of the services and eligibility information regarding the

IDDW Program

Traumatic Brain Injury ​Waiver Program (TBIW) - A brief description of the Medicaid TBI Waiver Program.

Self-Directio​n/PALCO brochure - Provides informatio​n regarding ADW, IDDW and TBIW Personal Options 


​​Provider Newsletters

2024 1st Quarter N​ew​sletter

2023 1st Quarter New​sletter

2022 2n​d Quarter Newsletter

2022 1st Quarter Ne​ws​letter

2021 1st Quarter Newsletter

2020 3rd Quarter Newsletter

2020 2nd Quarter Newsletter

2020 1st Quarter Newsletter

2018 4th Quarter Newsletter

2018 1st Quarter Newsletter

2017 3rd Quarter Newsletter

2017 2nd Quarter Newsletter

2017 1st Quarter Newsletter

2016 4th Quarter Newsletter

2016 3rd Quarter Newsletter

2016 2nd Quarter Newsletter

2016 1st Quarter Newsletter

2015 4th Quarter Newsletter

2015 3rd Quarter Newsletter

2015 2nd Quarter Newsletter


Annual Reports

Mountain Health Trust Annual Report Fiscal year 2016-2017

BMS Annual Report for State Fiscal Year 2015

WV Health Homes Annual Report for State Fiscal Year 2015

BMS Annual Report for State Fiscal Year 2014