Review cadence
- Source date
- 2026-07-19
- Claim review
- 2026-07-19 · 25/25
- Proven sweep
- 2026-07-15
- Target
- T3 · monthly
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West Virginia has 30 community health centers across 550 sites serving 584,410 patients — the #17 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
114,529 reported patients
Actual values: 11/12 · source-backed: 11/12
Visible gaps: NPPES operator identity.
Hash-pinned review: 2026-07-19 · next 2026-11-16
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-19 · addition
New tracked WV development added to the state intelligence feed.
2026-07-19 · addition
New tracked WV development added to the state intelligence feed.
2026-07-16 · addition
New tracked WV development added to the state intelligence feed.
2026-07-16 · addition
New tracked WV development added to the state intelligence feed.
2026-07-16 · addition
New tracked WV development added to the state intelligence feed.
2026-07-16 · addition
New tracked WV development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
HRSA's 2024 Uniform Data System reports 28 West Virginia Health Center Program awardees serving 576,260 patients. Of patients with known income, 82.97% were at or below 200% of the federal poverty guideline; 31.97% of all patients had Medicaid or CHIP and 9.43% were uninsured. That payer mix makes accurate Medicaid renewals and coverage transitions a direct operating issue for the state's health-center network.
Patient-weighted across the 30 centers with UDS 2024 data.
West Virginia law uses a transition-to-independent-prescribing framework for advanced practice registered nurses. An APRN initially seeking prescriptive authority must enter a written collaborative agreement, but the Board of Registered Professional Nurses must authorize prescribing without a further collaborative agreement after the APRN has practiced at least three years in a documented collaborative relationship with prescriptive authority and satisfies the statute's application and good-standing requirements. APRNs may not prescribe Schedule I controlled substances; Schedule II narcotic prescriptions are generally limited to a three-day supply.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten West Virginia's expansion population and FQHC Medicaid revenue.
Role implications
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West Virginia ranks #17 by FQHC patients, with 30 organizations and 550 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
32% Medicaid/CHIP, 9.4% uninsured, and 7.3 points below the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
196 public ATS snapshot rows across 10 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
West Virginia combines 584,410 FQHC patients with reduced NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
WVPCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
West Virginia has 30 FQHC employers in the directory and 196 public ATS snapshot rows across 10 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
196 live FQHC job postings in West Virginia on the national board right now.3 include employer-posted pay.10 verified employer sources; newest review 2026-07-20.
The official WorkForce West Virginia source was checked 2026-07-15, and the artifact contained 56 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Gov. Morrisey signed the budget with more than $110M in line-item vetoes and about $706M in state and lottery funding for Medicaid.
Agencies were directed not to seek state general revenue to replace federal Medicaid losses, leaving health centers without a state backstop.
Primary source · as of 2026-07-14
25 primary-sourced findings on West Virginia FQHC policy and financing.Newest item: 2026-07-19
Observed July 19, Williamson Health & Wellness Center's current careers site listed a full-time Licensed Practical Nurse opening in Williamson and provided an application form. The description places the role in an ambulatory primary-care system focused on prevention and health maintenance; listed duties include preparing patients, recording vital signs, assisting with examinations and procedures, administering medications and injections as ordered, patient education, CLIA-waived testing, laboratory samples, referrals and medication precertification.
It requires completion of an LPN program plus current West Virginia LPN and CPR credentials. The posting does not state that the role is newly created or filled, establish net staffing growth or a vacancy count, identify a specific clinic, list schedule hours or compensation, or quantify patients, visits, capacity, waits or outcomes.
Observed July 19, Coalfield Health's current contact page lists family practice in Chapmanville from 8:30 a.m. to 7:00 p.m. Monday, Wednesday, Thursday and Friday. It lists behavioral health from 8:30 a.m. to 5:00 p.m. Monday and Friday and until 6:00 p.m. Tuesday through Thursday, says walk-ins are welcome, and advertises 24/7 phone access to the care team.
The page does not state when these hours began, guarantee walk-in capacity or real-time availability, or quantify clinicians, appointments, waits, patient volume or outcomes. Twenty-four-hour phone access is not twenty-four-hour onsite care.
Observed July 19, Valley Health's current 7th Avenue location page lists primary care at 703 7th Avenue in Huntington on Monday, Thursday and Friday from 8:00 a.m. to 4:00 p.m., with a noon-to-1:00 p.m. lunch closure. It lists family medicine plus HIV and hepatitis C testing and treatment, and names Katherine Steele, MD, as the site's provider.
The page does not state an opening or service-start date, offer same-day or walk-in care, guarantee real-time availability, or quantify staffing beyond the named physician, appointment capacity, waits, patient volume or outcomes. July 19 is the observation date, not an opening date.
Observed July 16, FamilyCare's first-party Charleston OB/GYN & Birth Center page lists weekday hours of 8:30 a.m.–5:00 p.m., with a noon closure on the first Wednesday of each month. Services include gynecology, obstetrics and family planning; physician and nurse-midwife prenatal co-management, prenatal testing and childbirth preparation; and birth-center and hospital deliveries, breastfeeding support, postpartum care and newborn care.
This is a current standing service page without a published last-update date, not evidence of a new program or expanded capacity. It does not establish real-time appointments, patient eligibility, which delivery setting applies to an individual, continuous clinician coverage, staffing, birth volume, wait times, added capacity or outcomes; patients should confirm directly.
Observed July 16, New River Health's first-party Smithers page lists medical hours of 8:00 a.m.–4:00 p.m. Monday–Friday, pharmacy hours through 5:30 p.m. Monday–Thursday and 5:00 p.m. Friday, and dental hours of 8:30 a.m.–4:30 p.m. Tuesday–Thursday. The same location lists behavioral health, black-lung and pulmonary care, preventive, restorative and emergency dental care, medication-assisted treatment, women's prenatal and postpartum support, and urgent walk-in care without an appointment.
This confirms the operator's posted schedule and service menu; it does not establish that every service is available throughout every listed hour, real-time walk-in capacity, patient eligibility, provider coverage, staffing, wait times, utilization, added capacity or outcomes; patients should confirm service-specific availability.
The Health Management Academy surveyed 1,974 U.S. adults enrolled in Medicaid in April 2026 and published an embedded weighted 50-state table. Its West Virginia row estimates that 55.3% were unaware of the coming work requirements, 47.4% would ration medications if they lost coverage, 23.7% would use the emergency room and 42.1% could not travel farther for care.
These are state-level survey estimates derived from a national sample, not administrative counts or forecasts for every West Virginia Medicaid member.
MVA Health’s provider page, carrying a July 10, 2026 site timestamp, says Gregory Mims, MD, joined in April 2026 and serves as chief medical officer. It identifies adult primary care and chronic-disease management as his specialties and says he sees adult patients on Mondays, Wednesdays and Thursdays.
This documents an operator-reported named leadership and clinical addition with a published weekly schedule, not net workforce growth or guaranteed availability throughout three full days. The page does not identify his exact start day, care location, employment or contract status, FTE, clinic hours, appointment inventory, whether he replaced a prior clinician or filled a vacancy, credentialing, panel size, completed appointments, patients, visits, capacity, wait-time change, retention, compensation, funding or outcomes; its July 10 timestamp is not treated as the April joining date.
Community Care of West Virginia broke ground July 7 on a $20 million, four-story Integrated Health and Education Center in downtown Buckhannon. Plans combine pediatrics, primary care, behavioral health, a drive-through pharmacy, a no-cost patient fitness center and a fourth-floor education center with virtual-reality classrooms.
The financing described by the source includes $1.25 million in congressionally directed spending, an $18 million USDA Rural Development loan and interim construction financing from Citizens Bank. Community Care expects construction to take about two years.
Coplin Health Systems’ July 6, 2026 announcement schedules a new ongoing Mobile Health Unit stop at Parkersburg Fire Station No. 2. Following a July 22 kickoff event, the unit is scheduled for the second and fourth Wednesdays of each month from 1:00 to 4:00 p.m.; the listed services include routine primary care, behavioral health, women’s health, sports and work physicals and basic dental exams.
Coplin provides 304-440-5150 for appointments and says walk-ins are available at each stop. Because the kickoff and recurring deployment remained future as of the July 16 observation date, this is a scheduled expansion—not evidence that the new stop had launched or completed a visit.
The source does not give the first recurring service date, commitment term, provider assignments, staffing or FTEs, vehicle ownership, funding or cost, appointment inventory, completed walk-ins, visits, unique patients, turn-aways, wait times, incremental capacity, access change or outcomes.
The West Virginia Department of Human Services launched WVMedicaidHelp.org before new Medicaid eligibility requirements take effect January 1, 2027. The site explains community-engagement activities such as work, school or volunteering, exemptions and steps for keeping qualifying documents current.
West Virginia Public Broadcasting reports that more than 535,000 West Virginians were enrolled in Medicaid in 2024. West Virginia Health Right CEO Angie Settle said added paperwork can be difficult for some patients; Bureau for Medical Services Commissioner Christy Donohue said the department is working to make implementation as simple as possible.
WVU Health System and Independence Health System signed a definitive agreement under which WVU Health System would acquire the western Pennsylvania system. The parties expected closing in late September or early October 2026, subject to remaining regulatory approvals.
WVU Health System agreed to invest $800 million in Independence's five hospitals for a new electronic medical record system, facility upgrades and expansions, and enhanced clinical capabilities. The source describes investments in western Pennsylvania and does not quantify effects on West Virginia community health centers.
On June 2, the U.S. Court of Appeals for the Fourth Circuit granted rehearing en banc in the challenge to West Virginia's 340B contract-pharmacy law and ordered the case scheduled for the next available oral-argument session. The amended order lists the West Virginia Primary Care Association, 340B Health, the American Hospital Association and the West Virginia Hospital Association as amici supporting the state appellants.
Because the en banc court will rehear the case, the earlier panel disposition is not a reliable statement of the case's current merits posture; no final en banc judgment or argument date was available in the order.
Georgetown University's Center for Children and Families reports that the national uninsured rate for children under 6 increased from 4.3% in 2022 to 5.3% in 2024, a 23% increase in the number uninsured. West Virginia was one of three states where the 2024 uninsured rate for children under 6 was significantly higher than the rate for ages 6–18: 3.7% versus 2.5%.
The analysis says the Medicaid unwinding likely contributed nationally, while cautioning that the survey data do not identify why an individual child was uninsured.
West Virginia was selected as one of 10 states for the Certified Community Behavioral Health Clinic Medicaid Demonstration Program. The Department of Human Services says participation increases the federal Medicaid match rate for CCBHC services and supports comprehensive mental-health and substance-use-disorder services regardless of ability to pay.
The Bureau for Behavioral Health and Bureau for Medical Services will work with federal partners over four years to implement the statewide demonstration, with an emphasis on rural and underserved communities.
KFF's analysis of final 2026 open-enrollment data found Marketplace plan selections fell in 41 states; West Virginia declined 17%, after North Carolina at 22% and Ohio at 20%. Nationally, the average Marketplace deductible increased 37%, from $2,759 in 2025 to $3,786 in 2026, while bronze-plan selections rose from 30% to 40%.
Average premiums paid increased 58%, from $113 to $178. These national cost measures are not West Virginia-specific, and plan selections are not the same as effectuated enrollment.
Aetna Better Health of West Virginia opened a Community Resource Center inside Community Care of West Virginia's Clarksburg facility. The public center plans wellness events and vaccine clinics and offers meeting rooms, computers for virtual-care appointments and teleconferencing.
Aetna Medicaid members can receive in-person care-manager support several days a week and schedule individual meetings outside normal clinical hours. Aetna says its West Virginia plan serves more than 166,000 Medicaid members across all 55 counties.
Governor Patrick Morrisey announced that more than $62 million in Rural Health Transformation Program funding opportunities had been made available as of May 15. The state says opportunities announced to date support health-workforce recruitment, training and retention, telehealth, health technology, connectivity and provider support.
The release identifies the underlying first-year federal financial-assistance award as $199,476,098.72 and says additional opportunities were expected. It does not identify awardees or amounts actually received by community health centers.
West Virginia announced six first-tranche Rural Health Transformation opportunities totaling $28.56 million across Mountain State Care Force, HealthTech Appalachia and the Connected Care Grid. Four were competitive notices for eligible applicants through wvOASIS; the Fiscal Agent and Digital Backbone opportunities were identified as intended noncompetitive direct awards.
The announcement describes opportunities and intended award paths, not completed awards, and does not identify community health centers as recipients.
Governor Patrick Morrisey signed Senate Bill 570 on April 23, authorizing use of federal Rural Health Transformation Program funds. The governor's release describes a $199 million first-year award and a framework focused on access, workforce development, infrastructure and prevention.
It said the Department of Health would release initial competitive funding notices on a rolling basis over the following two weeks. The legislation authorizes deployment of the award; it is not evidence that the full amount had been distributed to providers.
House Bill 5459, approved by the governor March 27 and effective June 9, changes West Virginia's health-care provider tax for certified health maintenance organizations. Beginning July 1, 2027, the law directs a uniform 2.5% tax on each certified HMO's in-state gross premiums, regardless of its Medicaid, Medicare, commercial or non-Medicaid membership share and subject to specified plan exclusions, while preserving the prior structure until that date.
The transition is subject to federal approval for federal financial participation, and the tax becomes void if CMS determines it is no longer permissible. The statute does not quantify a Medicaid revenue gain or loss.
The Urban Institute projects changes in average monthly Medicaid expansion enrollment in 2028 under the federal law's six-month redeterminations and work requirements. For West Virginia, the modeled decline is 40,000 people (28%) under high mitigation, 61,000 (42%) under medium mitigation and 75,000 (52%) under low mitigation.
The range reflects three implementation scenarios and combines both provisions; it is not an observed count, a confidence interval or a work-requirement-only estimate. The model's appendix separately estimates the redetermination and incremental work-requirement components.
The West Virginia Legislature reported completing the compromise Senate Bill 250 budget on March 6. The bill set a $5.5 billion General Revenue budget for fiscal 2027, beginning July 1, 2026.
The legislative release says Medicaid within the Policy and Programming Budget received roughly $28 million more than current funding and waiver programs received a little more than $5 million above current-year levels. The release describes legislative completion of the budget bill; it does not support the prior claim of gubernatorial line-item vetoes or a directive barring replacement of federal funds.
The governor announced December 29, 2025, that West Virginia had secured $199 million for 2026 through the Rural Health Transformation Program. The release identifies 2026 as the first year of a five-year award period and says the state planned to use the funds for access, workforce recruitment and retention, telehealth and rural-health systems.
It compares the award with neighboring states but does not establish that the money replaces Medicaid reductions, identify health-center recipients or support the previously claimed consulting cost.
The Dominion Post reports that a Center for Healthcare Quality and Payment Reform model classified 13 of West Virginia's 33 rural hospitals as at risk of closure and five as at immediate risk within two to three years; 14 were operating at a loss. The model did not name the hospitals, and the classifications are not announced closures.
Separately, West Virginia Hospital Association CEO Jim Kaufman estimated that federal Medicaid changes would reduce state hospital payments by about $1 billion per year when fully implemented. The risk counts and the association's future annual-loss estimate are different measures and should not be added or treated as the same projection.
HRSA's 2024 Uniform Data System state page reports 28 Health Center Program awardees in West Virginia serving 576,260 patients. Of patients with known income, 82.97% were at or below 200% of the federal poverty guideline.
Medicaid or CHIP covered 31.97% of patients, while 9.43% were uninsured. These are 2024 UDS reporting-period measures; they are not a count of all care sites, a 2026 enrollment estimate or a projection of losses under later federal policy.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Valley Health Systems Inc. Huntington | 114,529 | 44 | 13.55% | $69M | Stable | WV-01 |
| Community Care of West Virginia, Inc. Rock Cave | 53,834 | 82 | 9.52% | $82M | Strong | WV-02 |
| Community Health Systems Inc. Beckley | 46,610 | 34 | 5.99% | $68M | Strong | WV-01 |
| Womencare, Inc. Scott Depot | 44,540 | 35 | 6.68% | $37M | Stable | WV-01 |
| Shenandoah Valley Medical System Inc. Martinsburg | 29,835 | 16 | 11.76% | $34M | Stable | WV-02 |
| E. A. Hawse Health Center, Inc. Baker | 23,215 | 24 | 7.15% | $29M | Stable | WV-02 |
| New River Health Association Inc. Oak Hill | 22,219 | 20 | 16.07% | $33M | Stable | WV-01 |
| Bluestone Health Association Inc. Princeton | 21,704 | 12 | 5.4% | $19M | Stable | WV-01 |
| Lincoln County Primary Care Center Inc. Hamlin | 20,924 | 28 | 3.3% | $36M | Strong | WV-01 |
| Cabin Creek Health Systems, Inc. Charleston | 19,908 | 13 | 11.88% | — | Strong | WV-01 |
| District | Representative | Sites |
|---|---|---|
| WV-01 | Carol D. Miller | 340 |
| WV-02 | Riley M. Moore | 196 |
West Virginia ranks #17 by FQHC patients and #15 by organization count among the 57 national-breadth jurisdictions. All 30 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are West Virginia-only. Updated 2026-06-30.