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Wisconsin Department of Health Services

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BadgerCare Plus

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BadgerCare Plus Forms and Publications

Member Updates

 

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Forms, Publications and Member Updates

Below, you will find links to materials that can be printed directly from this site. Some of these items are available in paper and can be ordered by completing an online request form. Most orders are sent out within 3 days. Those items available in paper format are indicated with an asterisk (*).

Applications/Forms

BadgerCare Plus Application Packet F-10182 (English*, Hmong, Spanish(PDF 2.4 MB)  (04/14)

Apply online at access.wi.gov.

Brochures/Handbooks/Posters

BadgerCare Plus P-10179 (English) (PDF 607 KB) (04/14)

BadgerCare Plus Health Care Coverage P-00674 (English) (PDF 537 KB) (04/14)
BadgerCare Plus Health Care Coverage for Adults with No Dependent Children P-00674A (English) (PDF 581 KB) (04/14)

BadgerCare Plus Poster P-00675 (English) (PDF 756 KB) (04/14)
BadgerCare Plus Poster Tear Off Sheets P-00675A (English) (PDF 587 KB) (04/14)

Estate Recovery Transfer by Affidavit P-13009 (PDF 26 KB)  (11/11)

ForwardHealth Enrollment and Benefits Handbook - July 2014 P-00079 (English) (PDF 2.6 MB)
ForwardHealth Enrollment and Benefits Handbook - November 2013 P-00079-P
(English, Spanish) (PDF 3.3 MB)
A handbook will be mailed to each family who applies for a ForwardHealth Plan.

HealthCheck P-01007 (English, Hmong, Spanish) (PDF 358 KB) (09/14)
A preventive health check-up program

Healthy Start, Grow Smart: Baby's first year — one month at a time.

A Guide to Obtain Augmentative Communication Devices and Accessories Through Wisconsin Medicaid and BadgerCare Plus P-11065 (English(PDF 73 KB) (04/14)

Prenatal Care Coordination P-01046 (English, Hmong, Spanish) (PDF 70 KB) (04/12)

Private Duty Nursing Guide P-01122 (English, Hmong, Spanish) (PDF 31 KB) (03/10)

Wisconsin BadgerCare Plus Choice Booklet P-12020A (English, Hmong, RussianSpanish) (PDF 795 KB) (01/14)

Wisconsin BadgerCare Plus HMO Program Guide P-12020 (English, Hmong, Russian, Spanish) (PDF 148 KB) (01/14)

Wisconsin BadgerCare Plus HMO Ombuds Brochure P-12002 (English, Hmong, Russian, Spanish(PDF 84 KB) (07/08)

Fact Sheets

ACCESS/Marketplace Takeaway Card P-00555 (English, Spanish) (PDF 540 KB) (11/13)

BadgerCare Plus - Wisconsin's Connection to Health Care Coverage P-10179 (English, Spanish) (PDF 607 KB) (04/14)

Emergency Services — Wisconsin Medicaid and BadgerCare Plus P-10072 (English, Hmong, Spanish) (65 KB) (07/12)

Estate Recovery Program Policy Changes Effective August 1, 2014 Fact Sheet P-00694 (English) (PDF 219 KB) (06/14)

ForwardHealth for Wisconsin Immigrants P-10164 (English, Hmong, Spanish) (PDF 43 KB) (04/10)

Health Care For Migrant Workers P-10053 (English, Spanish, Hmong) (PDF 185 KB) (08/09)

Health Insurance Premium Payment (HIPP) Plan P-10095 (English) (PDF 122 KB) (07/08)

Immigrants and BadgerCare Plus P-10180 (English) (PDF 44 KB) (03/09)

Key Contacts P-16108 (English, Spanish) (PDF 50 KB) (08/12)

Medical Support Liability P-10064 (English, Spanish) (PDF 21 KB) (04/11)

Non-Emergency Medical Transportation Non-emergency medical transportation is a public transportation and shared ride service.

Tuberculosis (TB) Only Related Services P-10022 (English, Hmong, Spanish) (PDF 118 KB) (02/14)

Wisconsin Legal Services Programs P-10096 (PDF 192 KB) (07/08)

 

Last Revised: September 17, 2014