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Wisconsin Well Woman
Medicaid
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(59 KB)
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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:
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Are enrolled in the
Wisconsin Well Woman Program through Well Woman Program Local Coordinating
Agencies,
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Are under age 65 and
have been screened for breast or cervical cancer by the Wisconsin Well Woman
Program,
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Are a resident of
Wisconsin,
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Are a citizen or
qualifying immigrant,
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Provide a Social
Security Number or apply for one,
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Are not able to get
private or public health care coverage for treatment of breast or cervical
cancer, and
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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:
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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
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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
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Are not able to get
private or public health care coverage for treatment of 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)
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 Central Application Processing
Operation (CAPO) office.
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 CAPO Coordinator or your
health care provider should submit the Well Woman Medicaid determination form to
CAPO by mail or fax.
Getting Services
You will get a Wisconsin Forward card 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:
The Department of Health and Family 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
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