West Virginia Health Care Authority

The HCA Mission

The West Virginia Health Care Authority works to:
  • Protect Citizens from unreasonable increases in the cost of healthcare services;
  • Promote appropriate distribution of quality health care services;
  • Promote the financial viability of the healthcare delivery system; and,
  • Assure the collection, analysis and dissemination of health related information to citizens, providers, policy makers and other customers.


All West Virginians will have appropriate access to a continuum of affordable, quality, coordinated healthcare services.

WV Health Care Authority Logo

Welcome to the West Virginia Health Care Authority’s Website.

The West Virginia Health Care Authority Operations:

  • Regulates the need for capital expenditures of covered services for health facilities through the certificate of need (CON) program. 
  • Collects, analyzes, and disseminates health care financial and clinical data to assess utilization, access, costs, and quality.

News and Announcements



Letters of Intent for the development of one ICF/IID serving children will be accepted by the Health Care Authority beginning on February 21, 2020.  Preference may be given to an application for the development of an ICF/IID in Berkeley County.  The Certificate of Need Standards for ICF/IID and the ICF/IID Need Methodology calculated by the Health Care Authority can be found below:

ICF/IID Certificate of Need Standards

ICF/IID Need Methodology              

           Questions may be directed to Barbara Skeen, Interim Executive Director, at (304) 558-7000 or Barbara.I.Skeen@wv.gov.



Pursuant to W. Va. Code § 16-2D-3(a)(3), the Authority is required to adjust the expenditure minimum annually and publish an update of the amount on or before December 31 of each year.  The expenditure minimum adjustment shall be based on the DRI inflation index. The DRI inflation index as of December 31, 2019 is 2.4%. 

The capital expenditure minimum for calendar year 2020 is $5,508,217

 CON Standards Public Comment


The West Virginia Health Care Authority has scheduled a public comment period to receive comments on the following proposed Certificate of Need Standards: 

Written comments may be submitted to Barbara Skeen, Interim Executive Director, West Virginia Health Care Authority, 100 Dee Drive, Charleston, WV 25311 or via email at Barbara.I.Skeen@wv.gov.   Comments must be received no later than close of business on November 27, 2019

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