Appeal deadlines in West Virginia
State outside review (4 months); Medicaid hearing deadline 90 days.
Checked against official sources: October 30, 2026.
Appeal deadlines are strict. If you are near a deadline or your care is urgent, call free help today.
Deadlines at a glance in West Virginia
- Outside review
- 4 months
- Hearing deadline
- 90 days
How each deadline is counted in West Virginia
- Time to file
West Virginia follows the federal rules. Use the deadline on your denial notice; federal rules give at least 180 days for most plans.
Law: W. Va. Code 33-16H-2; W. Va. Code St. R. 114-96, 114-97-5.2
- Deadline to ask
File your request with the Insurance Commissioner within 4 months of receiving the denial notice.
Law: W. Va. Code 33-16H-1 to 33-16H-4; W. Va. Code St. R. 114-97-5, 114-97-6, 114-97-7, 114-97-13
- The deadline runs from
Your receipt of the notice of the adverse determination or final adverse determination
- Hearing deadline
The effective date of the action.
- Keeping your benefits during the appeal
Notices of adverse action must be mailed at least 13 days before the change takes effect. If you are receiving benefits and ask for a hearing before the effective date of the action, the action is delayed until the hearing decision.
How long do I have? Deadline calculator
Sources
The official sources for West Virginia are listed on the West Virginia page.