BadgerCare Plus for Families and Medicaid
Reporting Changes
Report your Changes — BadgerCare Plus for Families and Medicaid
You must report changes within 10 days, of the change,
if:
-
You have a change in where you live or where you are
staying, or if someone moves in or out of your home, or
-
Your household relationships change (someone gets
married or divorced, or adopted), or
-
Your family’s monthly income (before taxes) goes
over a certain monthly income limit for your family. Your Enrollment
Letters (see Letters)
will give you the monthly income limit for your family size and
other reporting rules, or
-
For Medicaid, you must also report changes in your
households assets or expenses.
If you do not report a change and you get coverage when
you should not, you may have to repay the cost of that coverage.
If you move out of Wisconsin and do not report this
move, you will be required to repay any payments made to your HMO or
other health care providers, even if you did not use your ForwardHealth
card.
Example — BadgerCare Plus for Families: If
BadgerCare Plus paid your HMO $475 each month for your family, you would
have to repay the State of Wisconsin $475, for each month the HMO was
paid after you moved out of Wisconsin.
Example — Medicaid: You were enrolled in Medicaid
with a cost share of $200, in January. When you enrolled, you were given
a $75 credit for a health insurance expense. At the end of March you
cancelled the health insurance but you did not report it until June.
Your overpayment would be the difference between your new cost share and
the old cost share for May and June.
Report Your Changes — Family Planning Only Services
If you are enrolled in Family Planning Only Services,
changes in your income will not affect your enrollment. However, you
need to report within 10 days, the following:
-
You move to a new address, or
-
You move out of Wisconsin, or
-
Where you live changes (example, you go to a nursing
home or other institution).
Report Your Changes — BadgerCare Plus Core Plan
You must report, within 10 days, the following changes:
-
A change in your address, or
-
If you move out of the state of Wisconsin, or
-
Have a change in where you are staying, or
-
Your family’s monthly income (before taxes) goes
over a certain monthly income limit for your family.
-
Your Enrollment Letters (see
Letters) will give you the monthly income limit for your
family size and other reporting rules, or
-
Have a child under age 19, who is under your care
and moves into your home for more than 40% of the time, or
-
You get other health insurance or access to other
insurance, or
-
You become pregnant.
Report Your Changes — Well Woman Medicaid
If you are enrolled in Well Woman Medicaid you must
report the following changes to the agency, if you:
-
Reach 65 years of age,
-
Change your address,
-
Move out of Wisconsin,
-
Receive Medicare Part A, Part B or both,
-
Enroll in private insurance that covers your cancer
treatment.
How To Report Changes
To get these forms go to
dhs.wi.gov/em/customerhelp or contact your agency.
Please Note: If you receive SSI benefits, your
changes should be reported to the Social Security Administration.
If you do not report a change, you may be required to
pay for services you received after your cost share or enrollment status
should have changed.
You will be required to verify (give proof) of some of
these changes (see Proof).
Back to Table of Contents
Next — Renew Your Benefits
Previous — Important Information for all Health Care
Plans
Last Revised:
February 06, 2013 |
