West Virginia Medicaid does not reimburse audio-only telehealth

West Virginia Medicaid does not cover audio-only telephone visits, requiring real-time interactive communication with at least audio and video equipment. This excludes patients who lack reliable broadband, video-capable devices, or the digital literacy to use video, forcing them into in-person care or no care. It is a significant access barrier in a heavily rural state with substantial broadband gaps.

Source: Center for Connected Health Policy (CCHP), West Virginia state telehealth page (2026).