Active — ongoing Medicaid reimbursement / school health expansion
Atlas Opportunity Score 92/100
Verified September 30, 2026
West Virginia Department of Human Services (DoHS) / Bureau for Medical Services (BMS)
West Virginia Medicaid School-Based Health Services (SBHS) Expansion — Ongoing Reimbursement Pathway
West Virginia expanded Medicaid School-Based Health Services eligibility and participating provider types in September 2026, creating a broader recurring school-health reimbursement pathway for medically necessary services delivered to Medicaid-eligible students.
Required next actionVerify current BMS and WVDE implementation guidance reflecting SPA 26-0001; identify enrolled West Virginia school districts and school-health partners with unmet access needs; map eligible provider types and covered services; and confirm medical-necessity, documentation, consent, authorization, billing, and telehealth requirements before implementation.