West Virginia Medicaid Income Limits 2026: Chart by Household Size & Family of 4
Quick answer: most West Virginia adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels. The chart below lists the West Virginia Medicaid income requirements and guidelines for 2026 — all effective cutoffs including the 5% MAGI disregard, computed from the official 2026 FPL table (ASPE / Federal Register). State standards are from the CMS national eligibility table, as of 2023-12-01.
West Virginia Medicaid (Mountain Health Trust) is the West Virginia Medicaid program. The 2026 West Virginia Medicaid (Mountain Health Trust) income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
West Virginia Medicaid work requirement 2027: the federal work-requirement deadline for West Virginia is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the West Virginia work-requirement page for hours, exemptions and the reporting timeline.
Verification: All figures come from the CMS national eligibility table (2023-12-01 snapshot); the parents standard is dollar-based (CMS equivalent ~16% FPL) and exact dollars are pending state verification.
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) — 2026 income limits
138% FPL effectiveAdults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,835 | $2,489 | $3,142 | $3,795 | $4,448 | $5,101 | $5,755 | $6,408 |
Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.
The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
Children 0-1 (Medicaid) — 2026 income limits
163% FPL effectiveChildren 0-1 (Medicaid) income limits 2026: 163% of the federal poverty level — about $2,168/month for a household of 1 and $4,483/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,168 | $2,939 | $3,711 | $4,483 | $5,254 | $6,026 | $6,797 | $7,569 |
Base standard 158% FPL + 5% MAGI disregard = 163% effective. Larger households: add roughly $772/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 1-5 (Medicaid) — 2026 income limits
146% FPL effectiveChildren 1-5 (Medicaid) income limits 2026: 146% of the federal poverty level — about $1,942/month for a household of 1 and $4,015/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,942 | $2,633 | $3,324 | $4,015 | $4,706 | $5,397 | $6,088 | $6,779 |
Base standard 141% FPL + 5% MAGI disregard = 146% effective. Larger households: add roughly $691/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 6-18 (Medicaid) — 2026 income limits
138% FPL effectiveChildren 6-18 (Medicaid) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,835 | $2,489 | $3,142 | $3,795 | $4,448 | $5,101 | $5,755 | $6,408 |
Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP — WVCHIP) — 2026 income limits
305% FPL effectiveChildren (separate CHIP — WVCHIP) income limits 2026: 305% of the federal poverty level — about $4,057/month for a household of 1 and $8,388/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $4,057 | $5,500 | $6,944 | $8,388 | $9,831 | $11,275 | $12,719 | $14,162 |
Base standard 300% FPL + 5% MAGI disregard = 305% effective. Larger households: add roughly $1,444/month per additional person.
Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the WVCHIP name. Benefits match Medicaid; small copays may apply for some services.
Pregnant women — 2026 income limits
190% FPL effectivePregnant women income limits 2026: 190% of the federal poverty level — about $2,527/month for a household of 1 and $5,225/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,527 | $3,426 | $4,326 | $5,225 | $6,124 | $7,024 | $7,923 | $8,822 |
Base standard 185% FPL + 5% MAGI disregard = 190% effective. Larger households: add roughly $899/month per additional person.
Medicaid coverage for pregnant women; West Virginia also runs a CHIP-funded pregnancy coverage to 300% FPL. Count the expected child(ren) in household size; 12 months of postpartum coverage applies. No asset test.
Parents & caretaker relatives (dollar standard) — 2026 income limits
State dollar standard (CMS equivalent 16% FPL)Parents & caretaker relatives (dollar standard) income limits 2026: West Virginia sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 16% FPL for this group. We do not print a dollar schedule until it is verified against West Virginia Department of Human Services — contact them for the exact figures. Parents above this standard qualify through the adult expansion group instead.
West Virginia sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 16% FPL for this group. We do not print a dollar schedule until it is verified against West Virginia Department of Human Services — contact them for the exact figures. Parents above this standard qualify through the adult expansion group instead.
The parents and caretaker relatives category, set in dollars by the state (CMS equivalent ~16% FPL).
West Virginia publishes MAGI standards as a percent of FPL and applies the federal 5-percentage-point income disregard when it makes someone eligible, so each group has a base standard and a slightly higher effective cutoff. The tables below show the effective figures in dollars, computed from the official 2026 federal poverty guidelines.
MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).
Frequently asked questions
What is the West Virginia Medicaid income limit in 2026?
It depends on the coverage group. most West Virginia adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.
What is the West Virginia Medicaid income limit for a family of 2?
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) — 138% of the federal poverty level, about $2,489/month for a family of 2 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the West Virginia Medicaid income limit for a family of 3?
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) — 138% of the federal poverty level, about $3,142/month for a family of 3 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the West Virginia Medicaid income limit for a family of 4?
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) — 138% of the federal poverty level, about $3,795/month for a family of 4 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the West Virginia Medicaid income limit for a family of 5?
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) — 138% of the federal poverty level, about $4,448/month for a family of 5 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What income is too high for Medicaid in West Virginia?
There is no single number — every coverage group has its own ceiling. In West Virginia, an adult under 65 qualifies with household income up to $1,835/month for one person (138% FPL). Go above that and the adult group no longer covers you. Children and pregnant women stay covered at much higher levels: children to 163% FPL and pregnant women to 190% FPL.
What is the income limit for Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group) in West Virginia?
Adults 19-64 (West Virginia Medicaid (Mountain Health Trust) expansion group): 138% of the federal poverty level, about $1,835/month for a household of one. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the income limit for Children 0-1 in West Virginia?
Children 0-1 (Medicaid): 163% of the federal poverty level, about $2,168/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 1-5 in West Virginia?
Children 1-5 (Medicaid): 146% of the federal poverty level, about $1,942/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 6-18 in West Virginia?
Children 6-18 (Medicaid): 138% of the federal poverty level, about $1,835/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in West Virginia?
Children (separate CHIP — WVCHIP): 305% of the federal poverty level, about $4,057/month for a household of one. Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the WVCHIP name. Benefits match Medicaid; small copays may apply for some services.
What are the West Virginia Medicaid income limits for seniors (65 and older)?
The limits above are MAGI standards for children, pregnant women, parents and adults under 65. People 65 or older (and people with disabilities of any age) qualify under separate non-MAGI categories with their own dollar limits, which can include an asset test. West Virginia Department of Human Services publishes those figures and makes the final determination.
What are the West Virginia Medicaid (Mountain Health Trust) income limits in 2026?
West Virginia Medicaid (Mountain Health Trust) is the West Virginia Medicaid program. Its income limits are the ones on this page: most West Virginia adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.
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Reviewed by Gavin YE, Technical Director, ClearRules Labs.
Page last reviewed 2026-09-21