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

 30-Day Announcement

The Governor’s Office has approved the following Certificate of Need (CON) standards for the West Virginia Health Care Authority (WVHCA): End Stage Renal Disease, Home Health, and In-Home Personal Care. The revised standards will be added to the WVHCA website; Home Health standards will continue to use the current need methodology.

Updated standards include the following changes:

  • End Stage Renal Disease - added an exemption allowance to the standard for the development of an end stage renal disease facility in an underserved area, without going through full CON review.
  • Home Health - updated to correlate with daily operations of today’s home health facilities.
  • In-Home Personal Care - clarified the need methodology to reflect more accurate patient utilization by county.

Due to changes to the In-Home Personal Care standards, the need methodology is being updated and will be available on the WVHCA website by June 1, 2023. WVHCA will not receive/accept any Certificate of Need applications for In-Home Personal Care utilizing the revised standards until June 1, 2023.​​


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, 2022 is 5.5%.

The capital expenditure minimum for calendar year 2023 is $6,122,996.​

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