Wisconsin Medicaid — Patient Liability
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If you get
Medicaid and you are in a nursing home or medical institution, you may be
required to help pay for your health care cost. This is called a “Patient
Liability.” This is the amount you will need to pay each month to the nursing
home or care facility in which you live. The amount is based on your monthly
income after certain credits are subtracted.
The credits we may be able to give
The monthly cost to maintain
your home or apartment. (You
can only get this credit if a physician states that you are likely to return
to your home in the next six months.)
The actual amount you pay each month for court-ordered attorney or guardian
fees, or the cost to set up and keep a guardianship.
The actual amount you pay each month for medical services not covered by
The actual amount you pay each month for support payments to someone else.
A job credit if you are employed.
A monthly personal allowance of
- Premiums you pay for health
- Support for your spouse if you are
married. (Ask your local agency about “Spousal Impoverishment”
If, after we subtract all of the credits from your monthly income and you have no
income left, you will not have a patient liability. If you do have income
left, that is the amount of your patient liability. Your nursing home or care
facility will work with Medicaid to set up and maintain the patient liability.
How to apply
You can apply for Medicaid with
your local Medicaid office in person,
by mail, telephone or online at
access.wi.gov. To find the
Medicaid office in your area or to get
an application mailed to you,
visit the Customer Help web at
If you apply online, you may need to
talk with someone who works at
your local Medicaid office after you
submit the application. In many
cases, this can be done over the telephone.
You may need to mail, fax or
take proof of some items (like your
income, assets, bills, etc.) to the local
Medicaid office before you can start
For more information:
State of Wisconsin