If you have questions concerning:
- The history of Section 218 and/or Medicare coverage for State and Local Government Agencies
- Whether your West Virginia State or Local Government Agency has Section 218 Coverage under the Section 218 Agreement, or you would like a copy of your Modification Agreement
- How a State or Local Government Agency requests a referendum for Section 218 and/or Medicare coverage
Please contact the State Auditor’s Office for more information.
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