Trauma Recovery
The West Virginia Trauma Recovery Unit recovers Medicaid resources for the Bureau for Medical Services (BMS).
The Unit's primary function is to recover medical expenditures from verified third parties, which are liable for medical expenses when a Medicaid recipient has been awarded a settlement due to an accident. Third parties may include automobile insurance companies, hospital malpractice insurance carriers, employers, workers compensation carriers and homeowner insurance plans.
The Trauma Recovery Unit provides case management services for automobile accident, malpractice/negligence, personal injuries, workers' compensation, general liabilities, and any other trauma/tort recoveries.
Note to Medicaid Recipients and Representatives
Please contact the WV Trauma Recovery Unit by phone at (855) 386-4133 or email us at WestVirginiaCasualty@gainwelltechnologies.com:
- If you are in negotiations with a settlement because of a trauma case, or
- If you are an insurance company involved in a settlement, or
- If you are representing someone
Management of Trauma Recovery Unit
The Department of Human Services (DoHS) has contracted with HMS, Inc., a Gainwell Technologies Company, to manage and operate the Trauma Recovery Unit. The Recovery Unit operates under the State of West Virginia, DoHS Bureau for Medical Services. Section 1902(a)(25) of the Social Security Act requires that States or local agencies take all reasonable measures to identify legally liable third parties.
Did You Know?
All recoveries are returned to WV BMS and the Federal Government.
Federal and State law require the State to pursue repayment of Medicaid funds from any third party responsible for injuries suffered by a Medicaid recipient.
Case Management on Your Terms
Solaris Plus® is transforming subrogation by empowering attorneys with the ability to create, manage and settle cases without manual intervention and resultant delays. No more follow-up calls. No more wondering whether documents or requests have been received. Just transparency, efficiency and ease of use. To access Solaris Plus®, please visit solarisplus.hms.com.