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Wisconsin Medicaid and BadgerCare edical Support Liability
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Medical Support Liability means that the parents of a child are liable for
his or her child’s medical care. The parent is liable to provide health care
coverage or by paying the child’s medical bills.
By signing the BadgerCare Plus or Medicaid application, you agree to meet the
Medical Support rules.
In some case, you must cooperate with the Child Support Agency (CSA) to
establish paternity. This means you must help to locate an absent parent by
legally naming the absent parent and/or enforcing medical support liability
orders if you are applying for or getting BadgerCare Plus or Medicaid. The
support includes unpaid and ongoing medical support, including the birth costs
for your child.
If you do not cooperate with the CSA and do not have “good cause”, your
benefits may be end, if you are an adult and are not pregnant.
Good Cause
There are certain reasons for not cooperating with these rules. These are
called “good cause”. Good cause is when:
- Your cooperation could result in physical or emotional harm to:
- Your Child. This means your child’s mental state would be
greatly affected; or
- Yourself. This means the impairment is of such a nature or
degree that it reduces your ability to effectively care of your child;
or
- At least one of the following is true and to cooperate would harm your
child:
- The child was conceived as a result of incest or sexual assault, or
- A petition for the child’s adoption has been filed with a court; or
- You are being helped by a public or private social agency in
deciding whether or not to end your parental rights and has not gone on
for more than three months.
Unless there is good cause for refusing, you must also cooperate in:
- Establishing the paternity of any child born out of wedlock if
BadgerCare Plus/Medicaid is requested or received for that child.
- Getting medical support for yourself or for your child if BadgerCare
Plus/Medicaid is requested or received.
Fathers of Newborns May Be Responsible
Fathers of newborns may be required to pay for birth-related costs for the
baby and mother that was paid by BadgerCare Plus or Medicaid. These costs may
include physician, hospital, and other costs.
For More Information
- Go to
dhs.wi.gov/em/customerhelp,
- Call Member Services at 1-800-362-3002 (TTY and translation services are
available), or
- Contact your agency. You can get the address and phone number of your
agency online at
dhs.wi.gov/em/customerhelp or by calling 1-800-362-3002.
Information provided is general. For more detailed information, please
contact your agency or contact Member Services.
DHS is an equal opportunity employer and service provider. If you have a
disability and need to access this information in an alternate format, or need
it translated to another language, please contact (608) 266-3356 or
1-888-701-1251 TTY. All translation services are free of charge.
For civil rights questions call (608) 266-9372 or 1-888-701-1251 TTY.
P-10064 (04/11)
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