Medicaid Work Incentive (M-WIN)

M-WIN Overview
The West Virginia Medicaid Work Incentive (M-WIN) allows a working individual with a disability to pay premiums in order to obtain or maintain healthcare coverage through Medicaid. M-WIN establishes two new Medicaid eligibility groups that are administered by the WV Department of Human Services (DoHS), the Basic Coverage Group and the Medically Improved Group.

HMS, a Gainwell Technologies Company, is contracted with WV DoHS, Bureau for Medical Services (BMS) to administer the Premium payment collections for this program. This includes administering your monthly premium notices with collection of payments. Premium payments can be made by check or money order only. Please ensure that you include your stub each month when sending in your payment. Payment is due by the 16th day of each month. Any changes in your eligibility or premium amount will come directly from your DoHS county caseworker.

To apply for M-WIN, contact the local DoHS office. Office locations can be found on the DoHS website at https://dhhr.wv.gov/bfa/, or by calling 800-642-8589. For other assistance with M-WIN, contact M-WIN staff at 800-841-8436. In Northern West Virginia, call 304-293-4692 (voice) or 800-518-1448 (TDD) or in Southern West Virginia, call 304-720-3200 (voice) or 800-819-9359 (TDD).

Inquiries
Should you have questions specific to your monthly premium notices or payments please contact HMS via any of the following methods:

Phone:  877-735-7430
Email:  MWINCustomerService@gainwelltechnologies.com
Fax:  304-342-1605
Payments should be sent to:  DOHS-MEDICAID
P.O. BOX 40288
CHARLESTON, WV 25364

Did You Know?

HMS only administers the premium collections for the M-WIN program. Here is a link to a brochure providing more information on the program administered by WV DoHS.