Enrollment and Benefits Handbook

• Key Contacts

• ACCESS.wi.gov

• Collection and Use of Information

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General Information

Printable Version (English) (PDF, 880KB)

To get the address or phone number of your agency, go to dhs.wi.gov/em/customerhelp or call 1-800-362-3002.

Report Public Assistance Fraud — 1-877-865-3432 (toll-free) or visit https://www.reportfraud.wisconsin.gov/.

Key Contacts

All Applicants and Members

ACCESS — Online Tool at ACCESS.wi.gov

• See what health, nutrition and other programs you may be able to get

• Apply for FoodShare, BadgerCare Plus and Medicaid

• Check the status of your benefits (for examples: what health care plan are you enrolled in, what is the amount of your FoodShare benefits)

• Report changes (examples: new address or job)

• Replace your lost or damaged ForwardHealth card

• Renew your benefits and submit your FoodShare and/or Child Care Six-Month Report forms

Mail or Fax Applications and/or Proof/Verifications

If you live in Milwaukee County:

MDPU
PO Box 05676
Milwaukee WI 53205
Fax: 1-888-409-1979

If you do not live in Milwaukee County:

CDPU
PO Box 5234
Janesville, WI 53547-5234
Fax: 1-855-293-1822

FoodShare, BadgerCare Plus and Medicaid — 1-800-362-3002

• Covered Services and Copays

• Enrollment Rules

• Health Insurance Premium Payments

• Find a Provider

• Replace your ForwardHealth Card

Your Local Agency

• Questions about enrollment rules and premium amount

• Why your application was approved or denied

• Why your benefits have been reduced or ended

• Your ForwardHealth card is lost, stolen or damaged.

• Report changes by phone, fax or online

• Sending proof/verification

FoodShare Members

QUEST Customer Services — 1-877-415-5164

• General information about your QUEST card

• If you did not get a QUEST card

• To report a lost, stolen or damaged QUEST card

• Replace your QUEST card

• To get your QUEST card account balance

SeniorCare Members — 1-800-657-2038

• The name on your card is wrong

• Your SeniorCare card is lost or damaged (new card will be issued immediately)

• You have questions about the use of the card

• You have questions about your SeniorCare enrollment or level of enrollment

• You have questions about your out of pocket costs

• You have questions about covered drugs

Non-Emergency Transportation

LogistiCare — Reservation Line (schedule trips)

• 1-866-907-1493

• 1-866-288-3133 (TTY)

Where is my ride?

• 1-866-907-1494

Members Enrolled in an HMO

• HMO Enrollment Specialist — 1-800-291-2002

• HMO Ombudsman — 1-800-760-0001

• HMO Problems; Contact your HMO and ask to speak with a Member Advocate

Additional Information

Please Note: Everyone who is enrolled in any of the programs listed below are responsible for following all program rules. Program rules are listed in this handbook, for:

• FoodShare

• BadgerCare Plus Plans

• Medicaid Plans

• SeniorCare

• Medicare Savings Program

Program Income and Asset Limits

Income and asset amounts are based on Federal Poverty Level (FPL) guidelines and/or federal program rules. For income limits, see the Monthly Income Limit tables. These amounts are based on the 2012 federal guidelines which may increase by a small amount each year.

These amounts can also be found online at dhs.wi.gov.em/customerhelp or by calling Member Services at 1-800-362-3002.

ACCESS.wi.gov

ACCESS is a free, private and easy-to-use online tool. Create your MyACCESS account today to manage your benefits. You can:

• Check to see what your benefits are. For example, what health care plan are you enrolled in or the amount of your FoodShare benefits.

• Report changes such as a change in address or a job or health care changes.

• Renew your benefits or see when your renewal is due for health care and FoodShare.

• Submit a FoodShare and/or Child Care Six-Month Report form.

• Ask for a replacement ForwardHealth card.

• Get an Explanation of Medical Benefits (EOMB).

• Check to see what BadgerCare Plus or Medicaid HMO you are enrolled in.

• Pay your BadgerCare Plus Basic Plan Premium.

• Choose your BadgerCare Plus Standard or Benchmark Plan HMO for families who live in Southeast Wisconsin.

Collection and Use of Information

The information you give in the application, including the Social Security Number (SSN) of each household member applying for benefits is authorized under the Food and Nutrition Act of 2008, as amended PL 110-246, (7 United States Code 2011-2036) and Wisconsin Statutes §49.82(2). If you do not have an SSN due to religious beliefs or because of your immigration status, you will not be required to give an SSN.

The information will be used to determine if your household can get or keep getting benefits.

Information you give will be verified through computer matching programs. This information will also be used to monitor compliance with program rules and for program management.

This information may be given to other federal and state agencies for official examination and to law enforcement officials for the purpose of apprehending people fleeing to avoid the law.

Providing this information, including the SSN of each household member, is voluntary. However, any person who is asking for benefits (FoodShare, Medicaid or BadgerCare Plus plans) but does not give an SSN will not be able to get benefits. Any SSN provided for members who are not enrolled will be used and disclosed in the same way as SSNs of enrolled household members.

Your SSN will not be shared with the United States Citizenship and Immigration Services (USCIS).

If you have a disability and need this information in a different format, need it translated to another language, or if you have any questions about your rights and responsibilities, contact your agency or Member Services at 1-800-362-3002.

Table of Contents

Next — ForwardHealth Programs

State of Wisconsin
Department of Health Services
Division of Health Care Access and Accountability

P-00079 (12/12)

Last Revised: February 08, 2013