Forms/Publications/Member Updates

• Applications/Forms

• Brochures/Handbooks

• Fact Sheets

• Posters

• Wallet Cards

• Member Updates - This link will take you to the Member Updates

• Information about Changes in HMOs for Southeast Wisconsin

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 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) 

Apply online at access.wi.gov.

Brochures/Handbooks

BadgerCare Plus Brochure, P-10170, (English, Hmong, Spanish) (PDF, 468KB) (02/12)

ForwardHealth Enrollment and Benefits handbook, P-00079, (Spanish; PDF, 1.9MB) (12/12)
A handbook (English) will be mailed to each family who applies for a ForwardHealth Plan. 

Guide to Applying for Wisconsin's Health and Nutrition Programs, P-16091, (English*, Hmong, Spanish) (PDF, 181KB) (09/11)

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

HealthCheck — A preventive health check-up program (English, Hmong, Spanish) (PDF, 18KB) (07/08)

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, 35KB) (04/11)

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

Private Duty Nursing Guide, P-1122, (English, Hmong, Spanish) (PDF, 31KB) (03/10)

Wisconsin BadgerCare Plus Choice Booklet, P-12020A, (English, Hmong, Russian,  Spanish) (PDF, 267KB)

Wisconsin BadgerCare Plus HMO Program Guide, P-12020, (English, Hmong, Russian, Spanish) (PDF)

Wisconsin BadgerCare Plus HMO Ombuds Brochure, P-12002, (English, Hmong, Russian, Spanish) 

Fact Sheets

BadgerCare Plus, P-10179 (English, Hmong, Spanish) — This fact sheet contains the same information as the brochure, however, it is one page without images. (PDF, 186KB) (02/12) 

BadgerCare Plus and Employer-Sponsored Health Insurance, P- 10177, (English, Spanish, Hmong)(PDF, 40KB ) 

BadgerCare Plus General Fact Sheet, P-10173, (English, Hmong, Spanish) (PDF, 236KB) (02/12)

BadgerCare Plus Prenatal Services, P-10026, (English, Hmong, Spanish) (PDF, 275KB) (02/12)

BadgerCare Plus Temporary Health Insurance for Children, P-10168 (English, Hmong, Spanish) (PDF, 178 KB) (02/12)

BadgerCare Plus Temporary Health Insurance for Pregnant Women, P-10169, (English, Hmong, Spanish) (PDF, 102KB) (02/12)

Medicaid/BadgerCare Plus Deductible, P-10052 (English, Spanish) (04/13)

Emergency Services — Wisconsin Medicaid and BadgerCare Plus, P-10072, (English, Hmong, Spanish)

Family Planning Only Services — Female, P- 10068, (English, Hmong, Spanish) (PDF, 156KB)

Family Planning Only Services — Male, P-00176, (English, Hmong, Spanish) (PDF, 104KB) (02/12) 

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

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

Health Insurance Premium Payment (HIPP) Plan, P-10095 (English) 

Immigrants and BadgerCare Plus, P-10180 (English) (PDF, 44KB)

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

LogistiCare Transportation Guide, P-00414 (English) (PDF, 80KB) (10/12)

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

Tuberculosis (TB) Only Related Services, P-10022 (English, Hmong, Spanish) (09/12)

Who Can Enroll — BadgerCare Plus, P-00218 (English) (PDF, 98KB)

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

Posters

The following posters (3) are 24" x 36" in size and includes a space for a tear-off information sheet (see P-10166A.)

P-10166(English) 

P-10175  

Tear-off sheets P-10166A (English), P-10166AS (Spanish) (size 4.5x3.5", two-sided)  Can be used in any of the above posters.

Wallet Cards

BadgerCare Plus Information card P-10165 (folded size 1.5x2.5")

BadgerCare Plus Change Report card for Young Adults Exiting Out-of-Home Care, P-10176 (PDF, 37 KB) 

Last Revised: May 21, 2013