Medicaid in the Mountain State: The Unwinding through the Voices of Program Participants
This resource examines the role of Medicaid in West Virginia and documents how the post-pandemic Medicaid “unwinding” process affected residents, highlighting participant experiences and the program’s importance for health and economic stability.
The resource explores how Medicaid supports health coverage and economic security in West Virginia, where the program has served hundreds of thousands of residents—including up to one in three people during the COVID-19 public health emergency.
It focuses particularly on the “unwinding” period (April 2023–April 2024), when the state reassessed eligibility for all enrollees after pandemic protections ended, documenting the challenges beneficiaries faced navigating renewals and maintaining coverage. The report also emphasizes the program’s broader impacts, including supporting rural hospitals, providing access to mental health and substance-use treatment, and helping families maintain financial stability.
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