Hi Scott (PA-C) I'm assuming your talking about AA-Cs working in West Virginia (WV)? the answer is yes! AA-Cs do and can work in that state (West Virginia). AA-Cs work in 18 states now with Oklahoma being newest state to license AA-Cs in may 2008. No offense but keep in mind this is a AA-C message board not a RA message board it has nothing to do with being an anesthetist unless they (RA) are applying to AA-C program in the future.