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Wisconsin Well Woman Medicaid

(English, Hmong, Spanish) (PDF, 59 KB)

Wisconsin Well Woman Medicaid allows certain women to get full Medicaid benefits. This program helps women who have been diagnosed and are in need of treatment for breast or cervical cancer pay health care costs.

You may be able to get Wisconsin Well Woman Medicaid, if you:

  • Are enrolled in the Wisconsin Well Woman Program through Well Woman Program Local Coordinating Agencies,
  • Are under age 65 and have been screened for breast or cervical cancer by the Wisconsin Well Woman Program,
  • Are a resident of Wisconsin,
  • Are a citizen or qualifying immigrant,
  • Provide a Social Security Number or apply for one,
  • Are not able to get private or public health care coverage for treatment of breast or cervical cancer, and
  • Have a diagnosis of breast or cervical cancer, or a precancerous condition of the cervix, and need treatment for the breast or cervical cancer, or a precancerous condition of the cervix, as identified by the Wisconsin Well Woman diagnosing provider.

Or

You may be able to get Wisconsin Well Woman Medicaid if you are enrolled in the Family Planning Only Services Program and you:

  • Have been screened for, and diagnosed with, cervical cancer or a precancerous condition of the cervix and found to be in need of treatment for cervical cancer, or
  • Have received a clinical breast exam through the Family Planning Only Services Program and through follow up medical testing outside of the Family Planning Only Services Program are diagnosed with breast cancer and found to be in need of treatment for breast cancer, and
  • Are not able to get private or public health care coverage for treatment of breast or cervical cancer.

Or

You may be able to get Wisconsin Well Woman Medicaid if you are enrolled in the BadgerCare Plus Benchmark or Core Plans and have been screened for, and diagnosed with, breast cancer, cervical cancer or a precancerous condition of the cervix and found to be in need of treatment for the breast or cervical cancer.

Note: Women who have been screened through Wisconsin Well Woman Program and are not able to get Medicaid because of immigration status may be able to get Emergency Medicaid.

Presumptive Eligibility (Temporary Medicaid) Only Available to Women Enrolled in the Well Woman Program

Presumptive eligibility is “temporary” Medicaid you can get only if you are first enrolled in the Well Woman Program. Temporary Eligibility allows you to get health care, including breast and cervical cancer treatment while you apply for continuous Well Woman Medicaid through the Well Woman Processing Unit.

Temporary Medicaid can begin on the date you were diagnosed by a “certified Medicaid provider” if a presumptive eligibility application is submitted to Medicaid by the provider. Temporary Medicaid begins on the date you are diagnosed and will end at the end of the month following the month of diagnosis.

If you wish to continue to get Medicaid benefits, your Well Woman Program Local Coordinator will help you send an application to your Well Woman Processing Unit Coordinator or your health care provider should submit the Well Woman Medicaid determination form to the Well Woman Processing Unit by mail or fax.

Getting Services

You will get a Wisconsin ForwardHealthcard in the mail. Until you get your card, you must take your completed Wisconsin Well Woman Program enrollment form (F-44818) and the Wisconsin Well Woman Medicaid Determination Form (F-10075) to each appointment. This shows your health care provider that you have applied for temporary Medicaid.

For More Information:

  • Contact Member Services at 1-800-362-3002;
  • Contact Well Women Medicaid staff for information about a specific application at (608) 266-1720 or (Fax: 608-267-3381), or
  • Visit the Wisconsin Well Woman Program web page at http://www.dhs.wisconsin.gov/womenshealth/wwwp/.

The Department of Health Services 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).

 

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

P-10065 (05/13)

 

Last Revised: April 16, 2014