Transferring Medicaid from South Carolina to West Virginia
Your coverage does not follow the moving truck. South Carolina Medicaid ends when residency ends, and West Virginia requires a fresh application with West Virginia Department of Human Services, Bureau for Medical Services. Time the old case to close at the end of your move month, then file in West Virginia right away to shrink the gap.
Eligibility usually gets easier in this direction: West Virginia has adopted Medicaid expansion (adults up to 138% of the federal poverty level), while South Carolina has not — many adults who were denied in South Carolina qualify in West Virginia.
Official West Virginia Medicaid agency: West Virginia Department of Human Services, Bureau for Medical Services ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell South Carolina Department of Health and Human Services you are leaving
Contact the Healthy Connections Medicaid Member Contact Center at (888) 549-0820 to report changes to your case, including an out-of-state move.
South Carolina Department of Health and Human Services ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with West Virginia Department of Human Services, Bureau for Medical Services as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed). From January 1, 2027 (earlier in some states), most adults in the expansion group must also show 80 hours a month of work, school, job training, or community service, or an exemption, possibly for 1 to 3 months preceding the application.
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
South Carolina vs West Virginia: the numbers that decide it
| South Carolina (old state) | West Virginia (new state) | |
|---|---|---|
| Program name | Healthy Connections | West Virginia Medicaid |
| Agency | South Carolina Department of Health and Human Services | West Virginia Department of Human Services, Bureau for Medical Services |
| ACA Medicaid expansion | No — adults need a category | Yes — adults covered on income |
| Adult income limit | no income-only route for adults | 138% of the federal poverty level |
Monthly income limits by household size: South Carolina vs West Virginia
| Household size | South Carolina | West Virginia |
|---|---|---|
| 1 person | No income-only adult limit | $1,836 |
| 2 people | No income-only adult limit | $2,489 |
| 3 people | No income-only adult limit | $3,142 |
| 4 people | No income-only adult limit | $3,795 |
| 5 people | No income-only adult limit | $4,449 |
| 6 people | No income-only adult limit | $5,102 |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: South Carolina · West Virginia · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full South Carolina → West Virginia checklistCommon questions
Can I use my South Carolina Medicaid in West Virginia while I wait?
Generally no. South Carolina Medicaid only pays providers for South Carolina residents, and out-of-state care is limited to emergencies. Once you live in West Virginia, you need West Virginia coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in West Virginia?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on West Virginia's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the South Carolina case effective your move month.
Where do I actually apply in West Virginia?
Through West Virginia Department of Human Services, Bureau for Medical Services (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: West Virginia to South Carolina Medicaid
- Medicaid in South Carolina: leaving or arriving
- Medicaid in West Virginia: leaving or arriving
- Moving with Medicaid: every state
- South Carolina to Montana Medicaid
- South Carolina to New Jersey Medicaid
- South Carolina to Louisiana Medicaid
- South Carolina to Michigan Medicaid
Other benefits on the same move
- SNAP: South Carolina to West Virginia
- WIC: South Carolina to West Virginia
- Unemployment: South Carolina to West Virginia
- TANF: South Carolina to West Virginia
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- SCDHHS — Getting Started (how to apply) — accessed 2026-08-08
- SCDHHS — Program Eligibility and Income Limits — accessed 2026-08-08
- WV BMS — Applying for Healthcare (WV PATH, DoHS hotline) — accessed 2026-08-08