STATE PROFILE • Last updated: November 11, 2026
West Virginia Elder Care & Medicaid
West Virginia's Medicaid programs for seniors offer crucial support for nursing home care and home-based services, with the Aged and Disabled Waiver providing a key pathway for community living.
leaderboard
RANKED #42
GRADE F
FEATURED
Medicaid Coverage Guide for West Virginia
Full breakdown of Aged & Disabled Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Aged & Disabled Waiver
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
F
Grade
AFFORDABILITY
GRADE F · 29
QUALITY
GRADE B · 56
STAFFING
GRADE C · 34
ACCESS
GRADE C · 39
MEDICAID SUPPORT
GRADE F · 1
Composite score: 27.3 / 100 (50 = average state)
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West Virginia At a Glance
Nursing Home Facilities
123
Senior Medicaid Waivers
1
National Rank
#42 / 51
Range #40–#46 when the pillar weights shift
Senior Care Costs in West Virginia
local_hospital
Nursing Home
$12,845/mo
+16.3% vs national avg
- 123 nursing homes · 10,510 beds
- Avg CMS rating 2.83★ (17 rated 5★, 27 rated 1★)
- 3.69 nurse hrs/resident/day (0.71 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$23/hr
-14.8% vs national avg
- Median aide wage $12.77/hr
- ~18,730 aides employed statewide
Source: BLS OEWS
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